NPIMap

Organization Active NPI

Windsor Hospital Corp

  • Internal Medicine Physician
  • Windsor, VT
National Provider Identifier
1487793352
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
703 Issued in VT
Legal business name
WINDSOR HOSPITAL CORP
Practice address
289 County Rd
Windsor, VT 05089-9000
Phone
(802) 674-7300
NPI assigned
Feb 6, 2007
Organization subpart
Yes
Parent organization
WINDSOR HOSPITAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Bonnie S Martaniuk
Title
Prov Ins Enroll Coord
Phone
(802) 674-7170

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 703 VT
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 703 VT Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 703 VT

Addresses

Primary practice location

289 County Rd
Windsor, VT 05089-9000

Mailing address

289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7300

Other identifiers 1

IdentifierTypeStateIssuer
8000653MedicaidVT

Other names 1

  • MT ASCUTNEY HOSPITAL LADIES FIRST PROGRAM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Windsor Hospital Corp7 organizations share this tax ID, including this one
Part of
Windsor Hospital Corp

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1487793352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 COUNTY RD",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050899000",
            "telephone_number": "802-674-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 COUNTY RD",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050899000",
            "telephone_number": "802-674-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HOSPITAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDSOR HOSPITAL CORP",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "MARTANIUK",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROV INS ENROLL COORD",
        "authorized_official_telephone_number": "802-674-7170"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "703",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "703",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000653",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT ASCUTNEY HOSPITAL LADIES FIRST PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.