Southwestern Vermont Medical Center, Inc
Organization Active NPI Orthopaedic Surgery Physician · Bennington, VT
NPI 1487930632 · NPPES record last updated Nov 1, 2011
Key facts
- NPI
- 1487930632
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- SOUTHWESTERN VERMONT MEDICAL CENTER, INC
- Practice address
- 332 Dewey St
Bennington, VT 05201-2225 - Phone
- (802) 442-6314
- Fax
- (802) 447-1686
- NPI assigned
- Nov 1, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- SOUTHWESTERN VERMONT MEDICAL CENTER
Authorized official
- Name
- Mr. Thomas Dee
- Title
- Ceo
- Phone
- (802) 442-6361
Other NPIs with the same Medicare PAC ID 2
Practitioners 244
-
Stefanie Ann McGowan, CRNP
-
Jessica Frances Moses, FNP-BC
-
Allison Morse Murphy, NURSE PRACTITIONER
-
William B Smith, FNP
-
David Veltre, MD
-
Paul Donovan, D.O.
-
Kendra Isbell, PA-C
-
Jennifer Renee Lachance, PA-C
-
Suk Namkoong, MD
-
Vivian K Chang, MD
-
Ivette Guttmann, M.D.
-
Timothy Joseph Lin, M.D.
-
Michael Algus, M.D.
-
Lia B Braico, FNP-BC
-
Carley Lynn Colotti, RD, LD
-
Tracie Ann Crawford, FNP
-
Emily D'Amario, PA
-
Simon Paul Drew, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120412000770 | VT | Part B Supplier - Clinic/Group Practice | 0143138446 |
Receives reassigned benefits from 16 practitioners Practice locations: Bennington, VT |
National Provider Directory
- Part of
- Southwestern Vermont
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
332 Dewey St
Bennington, VT 05201-2225
Mailing address
332 Dewey St
Bennington, VT 05201-2225
Phone (802) 442-6314
Other names
- SVMC Orthopaedics
NPI Registry JSON
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320105600000",
"number": "1487930632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 DEWEY ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012225",
"telephone_number": "802-442-6314",
"fax_number": "802-447-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 DEWEY ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012225",
"telephone_number": "802-442-6314",
"fax_number": "802-447-1686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWESTERN VERMONT MEDICAL CENTER, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHWESTERN VERMONT MEDICAL CENTER",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A",
"authorized_official_last_name": "DEE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "802-442-6361",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SVMC Orthopaedics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bennington, VT
- Southwestern Vermont Medical Center Inc.
- Southwestern Vermont Medical Center Inc.
- Southwestern Vermont Medical Center Inc.
- Southwestern Vermont Medical Center Inc.
- Southwestern Vermont Medical Center, Inc
- Southwestern Vermont Medical Center, Inc
- Southwestern Vermont Medical Center, Inc.
- Southwestern Vermont Medical Center, Inc.
- Southwestern Vermont Medical Center, Inc.
- Southwestern Vermont Regional Ambulance, Inc.
All providers in Bennington, VT · Orthopaedic Surgery 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 Nov 1, 2011. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.