NPIMap

Organization Active NPI

Northwestern Medical Center, Inc.

Doing business as Northwestern Partners in Hope and Recovery

  • Pain Medicine (Anesthesiology) Physician
  • Saint Albans, VT
National Provider Identifier
1629334164
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NORTHWESTERN MEDICAL CENTER, INC.
Doing business as
Northwestern Partners in Hope and Recovery
Practice address
17 Catherine St
Saint Albans, VT 05478-2205
Phone
(802) 524-8809
Fax
(802) 524-1289
NPI assigned
Apr 10, 2012
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Mary E Pigeon
Title
Credentialing Specialist
Phone
(802) 524-8954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

17 Catherine St
Saint Albans, VT 05478-2205

Mailing address

17 Catherine St
Saint Albans, VT 05478-2205
Phone (802) 524-8809

Other identifiers 1

IdentifierTypeStateIssuer
1020281MedicaidVT

Other names 2

  • Northwestern Partners in Hope and Recovery Doing business as
  • Northwestern Comprehensive Pain Other name

National Provider Directory

National Provider Directory
Tax ID family
Northwestern Medical Ce36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1629334164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CATHERINE ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054782205",
            "telephone_number": "802-524-8809",
            "fax_number": "802-524-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CATHERINE ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054782205",
            "telephone_number": "802-524-8809",
            "fax_number": "802-524-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "PIGEON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "802-524-8954"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020281",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwestern Partners in Hope and Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwestern Comprehensive Pain",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.