Roger E Ehret, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Berlin, VT
NPI 1528089307 · NPPES record last updated Dec 4, 2014
Key facts
- NPI
- 1528089307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 042-0009344 (VT)
- Practice address
- 130 Fisher Rd
Mob-a Suite 1-4
Berlin, VT 05602-9516 - Phone
- (802) 371-5961
- Fax
- (802) 371-5960
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0009344 | VT | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 042-0009344 | VT | Yes |
Addresses
Primary practice location
130 Fisher Rd
Mob-a Suite 1-4
Berlin, VT 05602-9516
Mailing address
PO Box 547
Central Vermont Medical Center - Finance Dept
Barre, VT 05641-0547
Phone (802) 371-5961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN1415 | Medicaid | VT |
Other providers in Berlin, VT
- Patricia Ann Driscoll
- Randi Helen Dudley
- Kara Dudman
- Seandell Marie Durgin
- Heidi Eames
- Ellen L. Emers
- Brett Erdreich
- Brendan T. Everett
- Teresa Ann Fama
- Jason Herbert Fechter
All providers in Berlin, VT · Obstetrics & Gynecology 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 Dec 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.