Middlebury Family Health
Organization Active NPI Health Maintenance Organization · Middlebury, VT
NPI 1932159142 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1932159142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- Legal business name
- MIDDLEBURY FAMILY HEALTH
- Practice address
- 1330 Exchange St Ste 201
Middlebury, VT 05753-4464 - Phone
- (802) 388-1500
- Fax
- (802) 388-0441
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Stacy Lynn Ladd
- Title
- Practice Administrator
- Phone
- (802) 388-1500
Practitioners 10
-
Daniel C Huber, M.D.
-
Deborah S. Huber, M.D.
-
Linn Larson, MD
-
Katie Casas Miller, M.D.
-
Matthew Perchemlides, FNP-C, N.D., FABNO
-
Lena Wasmus, APRN
-
Peter C Wilhelm, MD
-
Wendie M Puls, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D0677186 | Middlebury Family Health | Provider-performed microscopy | Mar 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060502000705 | VT | Part B Supplier - Clinic/Group Practice | 2668482811 |
Receives reassigned benefits from 10 practitioners Practice locations: Middlebury, VT |
National Provider Directory
Locations
44 Collins Dr
Ste 201
Middlebury, VT 05753
Phone (802) 388-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Yes |
Addresses
Primary practice location
1330 Exchange St Ste 201
Middlebury, VT 05753-4464
Mailing address
1330 Exchange St Ste 201
Middlebury, VT 05753-4464
Phone (802) 388-1500
Other providers in Middlebury, VT
- John M McPartland
- Ava Menard
- Middlebury Acupuncture
- Middlebury Dental Group
- Middlebury Eye Associates Inc
- Middlebury Foot Care, Inc.
- Middlebury Pediatric Dentistry, PLLC
- Middlebury Physical Therapy PC
- Middlebury Radiologists, PLLC
- Middlebury Sport and Spine, PLC
All providers in Middlebury, VT · Health Maintenance Organization in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2020. 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.
- 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.