NPIMap

Organization Active NPI

Windsor Hospital Corporation

Doing business as Mt Ascutney Hospital Anesthesiology Dept

  • Anesthesiology Physician
  • Windsor, VT
National Provider Identifier
1932196078
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
703 Issued in VT
Legal business name
WINDSOR HOSPITAL CORPORATION
Doing business as
Mt Ascutney Hospital Anesthesiology Dept
Practice address
289 County Rd
Windsor, VT 05089-9000
Phone
(802) 674-7036
Fax
(802) 674-7005
NPI assigned
Oct 4, 2005
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
WINDSOR HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
David Sanville
Title
Cfo
Phone
(802) 674-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 703 VT Primary

Addresses

Primary practice location

289 County Rd
Windsor, VT 05089-9000

Mailing address

289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7218

Other identifiers 1

IdentifierTypeStateIssuer
OVN0599MedicaidVT

Other names 1

  • MT ASCUTNEY HOSPITAL ANESTHESIOLOGY DEPT Doing business as

National Provider Directory

National Provider Directory
Part of
Windsor Hospial Corp DB

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1932196078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 COUNTY RD",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050899000",
            "telephone_number": "802-674-7218",
            "fax_number": "802-674-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 COUNTY RD",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050899000",
            "telephone_number": "802-674-7036",
            "fax_number": "802-674-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDSOR HOSPITAL CORPORATION",
        "enumeration_date": "2005-10-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "SANVILLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-674-7240"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0599",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT ASCUTNEY HOSPITAL ANESTHESIOLOGY DEPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MT ASCUTNEY HOSPITAL ANESTHESIOLOGY DEPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.