Organization Active NPI

Southern Vermont Orthopaedic &

  • Orthopaedic Surgery Physician
  • Brattleboro, VT
National Provider Identifier
1801119573
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTHERN VERMONT ORTHOPAEDIC &
Practice address
17 Belmont Ave
Brattleboro, VT 05301-7601
Phone
(802) 254-7787
Fax
(802) 254-5937
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Elizabeth A McLarney, M.D.
Title
President
Phone
(802) 254-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

17 Belmont Ave
Brattleboro, VT 05301-7601

Mailing address

17 Belmont Ave
Brattleboro, VT 05301-7601
Phone (802) 254-7787

Other identifiers 1

IdentifierTypeStateIssuer
0016954MedicaidVT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1801119573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053017601",
            "telephone_number": "802-254-7787",
            "fax_number": "802-254-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053017601",
            "telephone_number": "802-254-7787",
            "fax_number": "802-254-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VERMONT ORTHOPAEDIC &",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "MCLARNEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-254-7787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016954",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.