Aidan Hunter Gorby, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Burlington, VT
NPI 1750131843 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1750131843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-2345
- NPI assigned
- Mar 25, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20250130002299 | VT | Order and Referring Only - Family Practice |
4587193891 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-2345
Other providers in Burlington, VT
- Kathleen Morwood Goodwin
- Zander Goodwin
- Amanda C. Goossen
- Ankit Gor
- Anna Dmitriyevna Gorbacheva
- Alexandra Lynn Gordon
- Kathleen Gorman
- Michelle Heyl Gorman
- Shannon Gorski
- Ryan D Goslin
All providers in Burlington, VT · Student in an Organized Health Care Education/Training Program in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.