Northeastern Reproductive Medicine PLLC
Organization Active NPI Obstetrics & Gynecology Physician · Colchester, VT
NPI 1982016689 · NPPES record last updated Aug 11, 2014
Key facts
- NPI
- 1982016689
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- NORTHEASTERN REPRODUCTIVE MEDICINE PLLC
- Practice address
- 105 Westview Road
Suite 302
Colchester, VT 05446-5996 - Phone
- (802) 363-4935
- Fax
- (802) 985-2566
- NPI assigned
- May 29, 2014
- Organization subpart
- No
Authorized official
- Name
- Peter Casson, MD
- Title
- Owner
- Phone
- (802) 363-4935
Practitioners 6
-
Emily Turner-Frye, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140807001693 | VT | Part B Supplier - Clinic/Group Practice | 2365669736 |
Receives reassigned benefits from 6 practitioners Practice locations: Colchester, VT |
National Provider Directory
Locations
105 Westview Rd
Ste 302
Colchester, VT 05446
Phone (802) 655-8888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Reproductive Endocrinology Physician |
207VE0102X |
Addresses
Primary practice location
105 Westview Road
Suite 302
Colchester, VT 05446-5996
Mailing address
105 Westview Road
Suite 302
Colchester, VT 05446-5996
Phone (802) 363-4935
Other providers in Colchester, VT
- Damon Nguyen
- Claude Nichols
- Niles Smiles Dental, PLLC
- Nomadvax LLC
- Northeastern Reproductive Medicine Laboratories PLLC
- Mary Ellen O'Brien
- Kristine O'Malley
- Omni Measurement Systems, Inc
- Charles Osler
- Brianna Leigh Owen
All providers in Colchester, VT · Obstetrics & Gynecology 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 Aug 11, 2014. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.