Active NPI
Robert William McDowell, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Newport, VT
National Provider Identifier
1659339174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 042-0006642
- Practice address
- 189 Prouty Dr
North Country Hospital
Newport, VT 05855-9326 - Phone
- (802) 334-3222
- Fax
- (802) 334-3230
- NPI assigned
- May 3, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 042-0006642 | VT | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 6444 | NH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 21087 | WV | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD421311 | PA |
Addresses
Primary practice location
189 Prouty Dr
North Country Hospital
Newport, VT 05855-9326
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005442 | Medicaid | VT | |
| 81225442 | Medicaid | NH |
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 |
|---|---|---|---|
| MD421311 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 042-0006642 | VT | MD | Anatomic Pathology & Clinical Pathology Physician |
| 21087 | WV | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Memorial Hospital | Past | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Organizations & group practices 2
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
- Brattleboro, VT
- NPI 1306849708
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1659339174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 PROUTY DR",
"address_2": "NORTH COUNTRY HOSPITAL",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058559326",
"telephone_number": "802-334-3222",
"fax_number": "802-334-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VT",
"license": "042-0006642",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NH",
"license": "6444",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WV",
"license": "21087",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD421311",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005442",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81225442",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.