Active NPI
Gretchen M Gaida Michaels, M.D.
- Internal Medicine Physician
- Middlebury, VT
National Provider Identifier
1457326142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 042-0012102
- 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110408000456 | VT | Practitioner - Internal Medicine | 9830150085 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0012102 | VT | MD | Internal Medicine Physician |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042-0012102 | VT | Primary |
| Internal Medicine Physician | 207R00000X | 222532 | MA |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| J27995 | Other | MA | BLUE CROSS |
| 2078881 | Medicaid | MA | |
| 469726 | Other | MA | TUFTS |
| AA17100 | Other | MA | HARVARD PILGRIM |
Other names 1
NPPES NPI Registry- Gretchen M Gaida
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.