Deborah M O Hara, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

055.0030933 Issued in VT

Practice address

63 Crescent Ave
Green Mountain Family Practice
Northfield, VT 05663-5704

Phone

(802) 485-4161

Fax

(802) 485-4163

NPI assigned

Nov 21, 2005

Last updated

Dec 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dohara236439@direct.uvmhealth.org

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.

• Central Vermont Medical Center Inc

  • Family Medicine Physician
  • Berlin, VT
  • NPI 1023028784
  Medicare reassignment NPD
• Green Mountain Family Practice

  • Primary Care Clinic/Center
  • Northfield, VT
  • NPI 1194701623
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1932182292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-485-4161",
            "fax_number": "802-485-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CRESCENT AVE",
            "address_2": "GREEN MOUNTAIN FAMILY PRACTICE",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635704",
            "telephone_number": "802-485-4161",
            "fax_number": "802-485-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O HARA",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0550030353",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0030933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90002631",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Giguere Morris, LICSW
• Laura Snell Murphy, MS OTR L
• Northfield Dental Group
• Northfield Pharmacy Inc (Northfield Pharmacy)
• Elizabeth Nugba, PA
• Jennifer O'Dell, LCMHC
• Janine Ann Osterman, ATC
• Erin Palmer, LCMHC, NCC
• Marcella M Pelkey, OT
• Patricia Petraro, LCMHC, LADC

• Physician Assistant in Northfield, VT
• Providers in Northfield, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.