Individual provider Active NPI

Gretchen M Gaida Michaels, M.D.

  • Internal Medicine Physician
  • Middlebury, VT
National Provider Identifier
1457326142
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042-0012102 Issued in VT
Practice address
104 Porter Dr
Middlebury, VT 05753-8527
Phone
(802) 388-5682
Fax
(802) 388-8322
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110408000456 VT Practitioner - Internal Medicine 9830150085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0012102VTMDInternal Medicine Physician

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042-0012102 VT Primary
Internal Medicine Physician 207R00000X 222532 MA

Addresses

NPPES NPI Registry

Primary practice location

104 Porter Dr
Middlebury, VT 05753-8527

Mailing address

104 Porter Dr
Middlebury, VT 05753-8527
Phone (802) 388-8808

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
J27995OtherMABLUE CROSS
2078881MedicaidMA
469726OtherMATUFTS
AA17100OtherMAHARVARD PILGRIM

Other names 1

NPPES NPI Registry
  • Gretchen M Gaida Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2012.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1457326142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PORTER DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538527",
            "telephone_number": "802-388-8808",
            "fax_number": "802-388-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PORTER DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538527",
            "telephone_number": "802-388-5682",
            "fax_number": "802-388-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIDA MICHAELS",
        "first_name": "GRETCHEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0012102",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "222532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J27995",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078881",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "469726",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA17100",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "GAIDA",
            "middle_name": "M",
            "credential": "M. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.