Green Mountain OB GYN PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GREEN MOUNTAIN OB GYN PC

Practice address

12 Crest Rd
Saint Albans, VT 05478-9701

Phone

(802) 524-5523

Fax

(802) 524-5438

NPI assigned

Jan 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jane F Zdziarski

Title

Billing Manager

Phone

(802) 524-4036

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Lowrey Sullivan, MD

  • Obstetrics & Gynecology Physician
  • St Albans, VT
  • NPI 1891726824

  Obstetrics & Gynecology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1386794055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789701",
            "telephone_number": "802-524-5523",
            "fax_number": "802-524-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789701",
            "telephone_number": "802-524-5523",
            "fax_number": "802-524-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN OB GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "ZDZIARSKI",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "802-524-4036",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0821",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Goodrich
• Cynthia G Grace, MS, LCMHC, LADC
• Mary E Gratton, CASAC
• Green Couch Counseling, LLC
• Green Mountain ENT
• Melissa Greiner
• Whitney Grennon, ATC
• Cristine Griffing, ATC
• Brenna Griswold
• Katherine Grochowski

• All providers in Saint Albans, VT
• Obstetrics & Gynecology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.