Active NPI
Richard Norman, MD
- Internal Medicine Physician
- Cambridge, VT
National Provider Identifier
1629048103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0420005840
- Practice address
- 272 N Main St
Suite 101
Cambridge, VT 05444-9810 - Phone
- (802) 644-5114
- Fax
- (802) 644-5573
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0420005840 | VT | Primary |
Addresses
Primary practice location
272 N Main St
Suite 101
Cambridge, VT 05444-9810
Mailing address
PO Box 102
Cambridge, VT 05444-0102
Phone (802) 644-5114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002371 | Medicaid | VT | |
| 042-0005840 | Other | VT | STATE LICENSE |
Other names 1
- Dr. Richard Norman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420005840 | VT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Cambridge, VT
- NPI 1407939721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1629048103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102",
"city": "CAMBRIDGE",
"state": "VT",
"postal_code": "054440102",
"telephone_number": "802-644-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 N MAIN ST",
"address_2": "SUITE 101",
"city": "CAMBRIDGE",
"state": "VT",
"postal_code": "054449810",
"telephone_number": "802-644-5114",
"fax_number": "802-644-5573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "0420005840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002371",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "042-0005840",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "NORMAN",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cambridge, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.