Susan E Blish, MD
Individual provider Active NPI Family Medicine Physician · Rutland, VT
NPI 1477560886 · NPPES record last updated Mar 5, 2010
Key facts
- NPI
- 1477560886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0420010152 (VT)
- Practice address
- 160 Allen St
Rutland, VT 05701-4560 - Phone
- (802) 775-7111
- Fax
- (802) 747-6260
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- State University of Ny Upstate Medical University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rutland Hospital, Inc.
Practice addresses (Care Compare)
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Hospital & facility affiliations
- Rutland Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719000518 | VT | Practitioner - Family Practice |
8921087370 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Hospital, Inc. | Current |
Accepting new patients | |
| Mid Vermont Pathology PC | Current | Accepting new patients | |
| Rutland Hospital, Inc | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current |
Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Past | Accepting new patients |
Locations
160 Allen St
Rutland, VT 05701
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420010152 | VT | Yes |
Addresses
Primary practice location
160 Allen St
Rutland, VT 05701-4560
Mailing address
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Other providers in Rutland, VT
- Heather A. Bixler
- Julia Bizzarro
- Paul Black
- Stephen John Blackett
- Andrea Blair
- Elizabeth Bloomfield
- Jacquelyn Ellen Bode
- William James Bogertman
- Chynah Boise
- Erica Bolster
All providers in Rutland, VT · Family Medicine 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 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.