Green Mountain Urology Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GREEN MOUNTAIN UROLOGY INC

Practice address

792 College Pkwy
Suite302
Colchester, VT 05446-3052

Phone

(802) 655-4900

Fax

(802) 655-5017

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Richard T Grunert, MDNPI 1245211143

Title

President

Phone

(802) 655-4900

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard T Grunert, MD

  • Urology Physician
  • Burlington, VT
  • NPI 1245211143
  NPD (past) Authorized official

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1730160532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 COLLEGE PKWY",
            "address_2": "SUITE302",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463052",
            "telephone_number": "802-655-4900",
            "fax_number": "802-655-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 COLLEGE PKWY",
            "address_2": "SUITE302",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463052",
            "telephone_number": "802-655-4900",
            "fax_number": "802-655-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN UROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "GRUNERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-655-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0583",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Trainer Graham, PHARMD
• Penny S. Grant, MA
• Green Mountain Anesthesia Group LLC
• Green Mountain Dermatology PLLC
• Green Mountain Plastic and Reconstructive Surgery
• Victoria Mae Greenough, DNP, APRN, RN
• Lincoln Grey
• Natalie Grigoli, MS CCC-SLP
• Gritmd PLLC
• Mary Handy Grunvald, PT

• Urology Physician in Colchester, VT
• Providers in Colchester, VT by specialty
• Urology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.