Organization Active NPI

Maplewood Family Practice, P.C.

  • Family Medicine Physician
  • Brattleboro, VT
National Provider Identifier
1437281045
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAPLEWOOD FAMILY PRACTICE, P.C.
Practice address
120 Maple St
Brattleboro, VT 05301-6818
Phone
(802) 254-1311
Fax
(802) 254-9211
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Denise Paasche, M.D.NPI 1316908650
Title
President
Phone
(802) 254-1311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

120 Maple St
Brattleboro, VT 05301-6818

Mailing address

120 Maple St
Brattleboro, VT 05301-6818
Phone (802) 254-1311

Other identifiers 1

IdentifierTypeStateIssuer
0VN2320MedicaidVT

National Provider Directory

National Provider Directory

Locations

120 Maple St
Brattleboro, VT 05301
Phone (603) 552-3309

63 Belmont Ave
Brattleboro, VT 05301
Phone (802) 254-1113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437281045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAPLE ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016818",
            "telephone_number": "802-254-1311",
            "fax_number": "802-254-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAPLE ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016818",
            "telephone_number": "802-254-1311",
            "fax_number": "802-254-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAASCHE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-254-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN2320",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.