Diane Charland, M.D.
Individual provider Active NPI Urology Physician · Williston, VT
NPI 1891740775 · NPPES record last updated Jan 9, 2008
Key facts
- NPI
- 1891740775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 0420010080 (VT)
- Practice address
- 71 Knight LN
Suite 10
Williston, VT 05495-4432 - Phone
- (802) 872-7001
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Vermont Medical Center Inc
Practice addresses (Care Compare)
1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
790 College Pkwy
Colchester, VT 05446-3007
Phone (802) 847-0000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
- The University of Vermont Health Network - Champl
- Northwestern Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050630000238 | VT | Practitioner - Obstetrics/Gynecology |
6800832858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420010080 | VT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current |
Accepting new patients | |
| Vermont Urogynecology Associates, PC | Gynecology | Past | Accepting new patients |
Locations
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
792 College Pkwy
Ste 101
Colchester, VT 05446
Phone (802) 847-4914
Interoperability endpoints
- dcharland3908@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0420010080 | VT | |
| Urology Physician | 208800000X | 0420010080 | VT | Yes |
Addresses
Primary practice location
71 Knight LN
Suite 10
Williston, VT 05495-4432
Mailing address
71 Knight LN
Suite 10
Williston, VT 05495-4432
Phone (802) 872-7001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN2378 | Medicaid | VT | |
| P00244985 | Other | VT | RAIL ROAD MEDICARE |
Other providers in Williston, VT
- Sarah Chadwell
- Champlain Center for Play Therapy and Family Counseling
- Champlain Valley Brace and Limb, L.L.C.
- Champlain Valley Speech Therapy
- Taylor Christine Champlin
- Maghan Charland
- Savannah Cheeseman
- Heather Marie Chernyshov
- Erin A Chicoine
- Child Care Resource
All providers in Williston, VT · Urology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.