Active NPI
Orleans Medical Clinic
- Family Medicine Physician
- Orleans, VT
National Provider Identifier
1912025552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ORLEANS MEDICAL CLINIC
- Practice address
- 30 East St
Orleans, VT 05860-1230 - Phone
- (802) 754-2220
- Fax
- (802) 754-2195
- NPI assigned
- Mar 26, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Bourgeois, M.D.
- Title
- Owner
- Phone
- (802) 754-2220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
30 East St
Orleans, VT 05860-1230
Mailing address
30 East St
Orleans, VT 05860-1230
Phone (802) 754-2220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN2319 | Medicaid | VT | |
| 00019768 | Other | VT | VT BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- St Johnsbury, VT
- NPI 1972606911
-
- Family Nurse Practitioner
- Barton, VT
- NPI 1902909922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912025552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 EAST ST",
"city": "ORLEANS",
"state": "VT",
"postal_code": "058601230",
"telephone_number": "802-754-2220",
"fax_number": "802-754-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 EAST ST",
"city": "ORLEANS",
"state": "VT",
"postal_code": "058601230",
"telephone_number": "802-754-2220",
"fax_number": "802-754-2195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLEANS MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOURGEOIS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-754-2220",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN2319",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VT BCBS",
"identifier": "00019768",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orleans, VT
- Megan Valley Counseling LLC
- North Country Hospital & Health Center Inc (Orleans Family Medicine)
- Northern Counties Health Care (Orleans Dental Center)
- Orleans Emergency Unit Inc
- Orleans Medical Clinic
- Pisgah Recovery, LLC
- Susan G Snow, FNP
- Katherine Burgin-Hope Stenger, LICSW
- James Anthony Strange, L.A.D.A.C.
- Megan B Valley, MA, LCMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.