Vermont Physicians Clinic

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

VERMONT PHYSICIANS CLINIC

Doing business as

Green Mountain Cardiology

Practice address

6 Commons St
Rutland, VT 05701-4651

Phone

(802) 773-1128

Fax

(802) 773-8501

NPI assigned

Jul 28, 2006

Last updated

Nov 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael E Robertello, M.D.

Title

Physician

Phone

(802) 773-1128

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GREEN MOUNTAIN CARDIOLOGY Doing business as

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1891709622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COMMONS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014651",
            "telephone_number": "802-773-1128",
            "fax_number": "802-773-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COMMONS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014651",
            "telephone_number": "802-773-1128",
            "fax_number": "802-773-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT PHYSICIANS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "ROBERTELLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "802-773-1128",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN2263",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49292",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREEN MOUNTAIN CARDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vermont Optical Corp
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• Vermont Physicians Clinic (Dr Peter and Lisa Hogenkamp)
• Vermont Physicians Clinic (David S Tager MD)
• Vermont Physicians Clinic Dba Carleen Messina
• Vermont Physicians Clinic Dba Family Medicine
• Vermont Physicians Clinic Dba Green Mountain Family Medicine
• Vermont Physicians Clinic Dba Lee Emerson
• Vermont Physicians Clinic Dba Rutland Skin Center

• Cardiovascular Disease Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Cardiovascular Disease Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.