Individual provider Active NPI

Anthony Herbert Donaldson, MD

  • Urology Physician
  • Bennington, VT
National Provider Identifier
1669446993
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
042.0011757 Issued in VT
Practice address
140 Hospital Dr
Suite 100
Bennington, VT 05201-5009
Phone
(802) 447-6253
Fax
(802) 442-3017
NPI assigned
Feb 14, 2006
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 042.0011757 VT Primary

Addresses

Primary practice location

140 Hospital Dr
Suite 100
Bennington, VT 05201-5009

Mailing address

85 Keyes LN
Shushan, NY 12873-2915
Phone (518) 854-7492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000488 VT Practitioner - UrologyPractitioner - General Surgery 2961507223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

140 Hospital Dr
Suite 108
Bennington, VT 05201-5010
Phone (802) 447-5519

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. Urology CurrentSince Jun 4, 2012 Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Jun 4, 2012 Accepting new patients
Mohamed H Antar MD PA Urology PastSince Apr 2, 1999 Accepting new patients
Southwestern Vermont Medical Center Inc Past Accepting new patients

Locations

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

140 Hospital Dr
Ste 100
Bennington, VT 05201
Phone (802) 447-1200

140 Hospital Dr
Ste 108
Bennington, VT 05201
Phone (802) 447-1191

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

140 Hospital Dr
Ste 217
Bennington, VT 05201
Phone (802) 447-1536

Interoperability endpoints

  • Direct secure messaging: anthony.donaldson.1@3744.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1669446993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 KEYES LN",
            "city": "SHUSHAN",
            "state": "NY",
            "postal_code": "128732915",
            "telephone_number": "518-854-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015009",
            "telephone_number": "802-447-6253",
            "fax_number": "802-442-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "ANTHONY",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VT",
            "license": "042.0011757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.