Anthony Herbert Donaldson, MD
Individual provider Active NPI Urology Physician · Bennington, VT
NPI 1669446993 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1669446993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 042.0011757 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southwestern Vermont Medical Center, Inc
Practice addresses (Care Compare)
140 Hospital Dr
Suite 108
Bennington, VT 05201-5010
Phone (802) 447-5519
Hospital & facility affiliations
- Southwestern Vermont Medical Center
- Samaritan Hospital of Troy, New York
- Glens Falls Hospital
- North Adams Regional Hospital Corporation
- Grace Cottage Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090804000488 | VT | Practitioner - Urology |
2961507223 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0011757 | VT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Vermont Medical Center Inc. | Urology | Current |
Accepting new patients |
| Southwestern Vermont Medical Center Inc. | Current |
Accepting new patients | |
| Southwestern Vermont Medical Center Inc | Past | Accepting new patients | |
| Mohamed H Antar MD PA | Urology | Past |
Accepting new patients |
Locations
140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836
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 217
Bennington, VT 05201
Phone (802) 447-1536
Interoperability endpoints
- anthony.donaldson.1@3744.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 042.0011757 | VT | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161998331A | Medicaid | GA | |
| 2777584-00 | Medicaid | FL |
Other providers in Bennington, VT
- Kirk Dennison
- Greg Depaolis
- Paul Dilonno III
- Agostino Korey Diroma
- Carl W Dobson III
- Nancy Scattergood Donavan
- Alainah Dowding
- Jo L Dowling
- Lisa J Downing-Forget
- Dr. Nancy L. Burns PC
All providers in Bennington, VT · Urology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.