NPIMap

Organization Active NPI

Porter Hospital Inc

  • Anesthesiology Physician
  • Middlebury, VT
National Provider Identifier
1871689604
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
675 Issued in VT
Legal business name
PORTER HOSPITAL INC
Practice address
115 Porter Dr
Porter Hospital
Middlebury, VT 05753
Phone
(802) 388-5607
Fax
(802) 388-5654
NPI assigned
Oct 5, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Steven T Ciampa
Title
Cfo
Phone
(802) 388-4752

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 121

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20060105000092 VT Part B Supplier - Clinic/Group Practice 1850365180 Receives reassigned benefits from 10 practitioners
Practice locations: Middlebury, VT

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 675 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

115 Porter Dr
Porter Hospital
Middlebury, VT 05753

Mailing address

115 Porter Dr
Finance Dept
Middlebury, VT 05753
Phone (802) 388-5607

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2013.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1871689604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PORTER DR",
            "address_2": "FINANCE DEPT",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-388-5607",
            "fax_number": "802-388-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PORTER DR",
            "address_2": "PORTER HOSPITAL",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-388-5607",
            "fax_number": "802-388-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "CIAMPA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-388-4752"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.