Thornton Squire Cody, M.D.

Individual provider Active NPI Internal Medicine Physician · Springfield, VT

NPI 1740217629 · NPPES record last updated Nov 20, 2008

Key facts

NPI
1740217629
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
042-0007413 (VT)
Practice address
368 River Street
Springfield, VT 05156-2242
Phone
(802) 886-2526
Fax
(802) 886-2225
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0007413VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Hospital Inc Internal Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042-0007413 VT Yes

Addresses

Primary practice location

368 River Street
Springfield, VT 05156-2242

Mailing address

368 River Street
Springfield, VT 05156-2242
Phone (802) 886-2526

Other identifiers

IdentifierTypeStateIssuer
0002655MedicaidVT
30001422MedicaidNH

Other providers in Springfield, VT

All providers in Springfield, VT · Internal Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.