Obstetrics,Gynecology,Infertility P.C.
Organization Active NPI Obstetrics & Gynecology Physician · Rutland, VT
NPI 1447248299 · NPPES record last updated Mar 27, 2008
Key facts
- NPI
- 1447248299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- OBSTETRICS,GYNECOLOGY,INFERTILITY P.C.
- Practice address
- 71 Allen St
Suite 402
Rutland, VT 05701-4570 - Phone
- (802) 773-7777
- Fax
- (802) 773-2867
- NPI assigned
- Oct 6, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Mary M Beerworth, M.D.
- Title
- President
- Phone
- (802) 773-7777
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
71 Allen St
Suite 402
Rutland, VT 05701-4570
Mailing address
71 Allen St
Suite 402
Rutland, VT 05701-4570
Phone (802) 773-7777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216-5217 | Other | VT | VT BC/BS GROUP ID NUMBER |
| 1945 | Other | VT | GROUP CDPHP BILLING ID |
| VT9114 | Medicaid | VT |
Other providers in Rutland, VT
- Tricia Ann O'Connor
- Lauren Oberg
- Michele Obrien
- Paul Francis Obrien
- Ella Obrosky
- Occupational Health Partners, PLLC
- Ian Odigie
- Leanna A Olennikov
- Earl A Olson
- Melissa Raiford Omand
All providers in Rutland, VT · Obstetrics & Gynecology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.