NPIMap

Organization Active NPI

Convenient Medical Care

  • Family Medicine Physician
  • Rutland, VT
National Provider Identifier
1811276868
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420009268 Issued in VT
Legal business name
CONVENIENT MEDICAL CARE
Practice address
25 N Main St
Rutland, VT 05701-3246
Phone
(802) 775-8032
Fax
(802) 775-3058
NPI assigned
Aug 9, 2011
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CONVENIENT MEDICAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Ms. Elise Courcelle Bedard
Title
Office Manager
Phone
(802) 775-8032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420009268 VT Primary

Addresses

Primary practice location

25 N Main St
Rutland, VT 05701-3246

Mailing address

25 N Main St
Rutland, VT 05701-3246
Phone (802) 775-8032

National Provider Directory

National Provider Directory
Part of
Timothy G Cook MD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19910/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1811276868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013246",
            "telephone_number": "802-775-8032",
            "fax_number": "802-775-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013246",
            "telephone_number": "802-775-8032",
            "fax_number": "802-775-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT MEDICAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONVENIENT MEDICAL CARE",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "BEDARD",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "COURCELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-775-8032",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420009268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.