Active NPI
Robert M Naylor, M.D.
- Diagnostic Radiology Physician
- Randolph, VT
National Provider Identifier
1881796381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 042-0004098
- Practice address
- 44 S Main St
Randolph, VT 05060-1381 - Phone
- (802) 728-2282
- Fax
- (802) 728-2112
- NPI assigned
- Sep 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 042-0004098 | VT | Primary |
Addresses
Primary practice location
44 S Main St
Randolph, VT 05060-1381
Mailing address
PO Box 131
Randolph Center, VT 05061-0131
Phone (802) 899-5462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN0085 | Medicaid | VT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0004098 | VT | MD | Diagnostic Radiology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba White River Radiology
- Diagnostic Radiology Physician
- Randolph, VT
- NPI 1598868796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881796381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 131",
"city": "RANDOLPH CENTER",
"state": "VT",
"postal_code": "050610131",
"telephone_number": "802-899-5462",
"fax_number": "802-899-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 S MAIN ST",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601381",
"telephone_number": "802-728-2282",
"fax_number": "802-728-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYLOR",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VT",
"license": "042-0004098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN0085",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.