NPIMap

Individual provider Active NPI

Joyce M Dobbertin, M.D.,D.C.

  • Family Medicine Physician
  • Lyndon, VT
National Provider Identifier
1649216292
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0010008 Issued in VT
Practice address
NVRH Corner Medical
195 Industrial Pkwy
Lyndon, VT 05849
Phone
(802) 748-9501
NPI assigned
Jun 21, 2006
Last updated
Feb 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0010008 VT Primary

Addresses

Primary practice location

NVRH Corner Medical
195 Industrial Pkwy
Lyndon, VT 05849

Mailing address

PO Box 83
Lyndonville, VT 05851
Phone (802) 748-9501

Other identifiers 1

IdentifierTypeStateIssuer
0009152MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725001177 VT Practitioner - Family PracticePractitioner - Hospice/Palliative Care 4981689502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Vermont College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Vermont Regional Hospital IncGroup PAC ID 3678481405, shared by 15 NPIs, 104 clinicians

Practice addresses (Care Compare)

1080 Hospital Dr
Saint Johnsbury, VT 05819-6001
Phone (802) 748-7390

1315 Hospital Dr
Saint Johnsbury, VT 05819-9210
Phone (802) 748-8141

195 Industrial Pkwy
Lyndonville, VT 05851-4511
Phone (802) 748-9501

PO Box
St Johnsbury, VT 05819-0905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0010008VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Aug 15, 2001 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Oct 1, 2013 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Mar 1, 2007 Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients

Locations

195 Industrial Pkwy
Lyndonville, VT 05851

195 Industrial Pkwy
#1
Lyndonville, VT 05851

1080 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 473-4100

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1649216292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "05851",
            "telephone_number": "802-748-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NVRH CORNER MEDICAL",
            "address_2": "195 INDUSTRIAL PKWY",
            "city": "LYNDON",
            "state": "VT",
            "postal_code": "05849",
            "telephone_number": "802-748-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBERTIN",
        "first_name": "JOYCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.,D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0010008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009152",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndon, VT

Sources for this page

Verify at the official NPI Registry.