Individual provider Active NPI

Frank Leonard Provato, MD

  • Internal Medicine Physician
  • Newport, VT
National Provider Identifier
1740467356
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042-0010312 Issued in VT
Practice address
41 Medical Village Dr
Community Medical Associates
Newport, VT 05855-9835
Phone
(802) 334-3504
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042-0010312 VT Primary

Addresses

Primary practice location

41 Medical Village Dr
Community Medical Associates
Newport, VT 05855-9835

Mailing address

1181 Harvey Farm Rd
Waterbury Center, VT 05677-7140
Phone (802) 244-6418

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

LicenseStateTypeSpecialty
042-0010312VTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1740467356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 HARVEY FARM RD",
            "city": "WATERBURY CENTER",
            "state": "VT",
            "postal_code": "056777140",
            "telephone_number": "802-244-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MEDICAL VILLAGE DR",
            "address_2": "COMMUNITY MEDICAL ASSOCIATES",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559835",
            "telephone_number": "802-334-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVATO",
        "first_name": "FRANK",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0010312",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 25, 2008; 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.