Active NPI
Deborah Jerard, MD
- Pediatrics Physician
- Berlin, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 042-0007761
- Practice address
- 246 Granger Rd
Suite 1
Berlin, VT 05602-0000 - Phone
- (802) 476-9242
- Fax
- (802) 225-5760
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 042-0007761 | VT | Primary |
Addresses
Primary practice location
246 Granger Rd
Suite 1
Berlin, VT 05602-0000
Mailing address
PO Box 547
Central Vermont Medical Center - Finance Dept
Barre, VT 05641-0547
Phone (802) 476-9242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002260 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, TX, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0007761 | VT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Pediatrics | Current | Accepting new patients |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients |
Locations
3015 3rd Ave SE
Ste 120
Aberdeen, SD 57401
Phone (605) 725-1700
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
246 Granger Rd
Ste 1
Barre, VT 05641
Phone (802) 371-5950
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Interoperability endpoints
- djerard262248@direct.uvmhealth.org
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
- Clinic/Center
- Martin, SD
- NPI 1003208257
-
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
-
- Family Medicine Physician
- Vermillion, SD
- NPI 1013921733
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
-
- Critical Access Hospital
- Canton, SD
- NPI 1740244540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1649291360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"address_2": "CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT",
"city": "BARRE",
"state": "VT",
"postal_code": "056410547",
"telephone_number": "802-476-9242",
"fax_number": "802-225-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 GRANGER RD",
"address_2": "SUITE 1",
"city": "BERLIN",
"state": "VT",
"postal_code": "056020000",
"telephone_number": "802-476-9242",
"fax_number": "802-225-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERARD",
"first_name": "DEBORAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": "042-0007761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002260",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.