PORTER HOSPITAL INC (NPI# 1093997249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093997249 |
| Entity Type | Organization |
| Organization Name | PORTER HOSPITAL INC |
| Other Organization Name | PORTER HOSPITAL INC DBA BRISTOL INTERNAL MEDICINE |
| Practice Address |
6 Park Pl Bristol VT 05443-1229 |
| Mailing Address |
104 Porter Dr Middlebury VT 05753-8527 |
| Practice Telephone | 8024537422 |
| Practice Fax Number | 8024533071 |
| Mailing Telephone | 8023885682 |
| Mailing Fax Number | 8023885692 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | STEVE CIAMPA (CFO) |
| Authorized Official Telephone | 8023885752 |
| Is Organization Subpart | Y |
| Parent Organization Name | PORTER HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1014490 | 05 |
| Other Name | Type Code |
|---|---|
| Porter Hospital Inc dba Bristol Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740291400 | Porter Hospital Inc | General Acute Care Hospital | 115 Porter Drive, Middlebury, VT 05753 | 2006-08-10 |
| 1841210176 | Porter Hospital Inc | Internal Medicine | 116 Porter Drive, Porter Internal Medicine, Middlebury, VT 05753 | 2006-07-20 |
| 1124048459 | Porter Hospital Inc | Otolaryngology | 1330 Exchange Street Suite 202, Porter Ent, Middlebury, VT 05753 | 2006-07-20 |
| 1437435245 | Porter Hospital Inc | Orthopaedic Surgery | 1436 Exchange St, Middlebury, VT 05753-4497 | 2011-10-25 |
| 1275839425 | Porter Hospital Inc | Surgery | 115 Porter Dr, Middlebury, VT 05753-8423 | 2011-02-07 |
| 1033340641 | Porter Hospital Inc | Family Medicine | 104 Porter Dr, Middlebury, VT 05753-8527 | 2009-07-30 |
| 1548380819 | Porter Hospital Inc | Advanced Practice Midwife | 20 Armory Ln, Vergennes, VT 05491-1300 | 2007-03-30 |
| 1548302862 | Porter Hospital Inc | Advanced Practice Midwife | 116 Porter Dr, Middlebury, VT 05753-8527 | 2007-02-13 |
| 1265578777 | Porter Hospital Inc | Medicare Defined Swing Bed Unit | 115 Porter Drive, Middlebury, VT 05753 | 2007-01-30 |
| 1952464158 | Porter Hospital Inc | Internal Medicine | 104 Porter Dr, Middlebury, VT 05753-8527 | 2006-12-18 |
| Street Address |
6 PARK PL |
| City | BRISTOL |
| State | VT |
| Zip Code | 05443-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792983 | Bristol Park Dental Associates Plc | Dentist | 6 Park Pl, Bristol, VT 05443-1229 | 2019-10-28 |
| 1417503772 | James K. Cossaart Dds PC | Dentist | 6 Park Pl, Bristol, VT 05443-1229 | 2019-08-13 |
| 1477800738 | Farid Hamidzadeh | Dentist | 6 Park Pl, Bristol, VT 05443 | 2012-08-06 |
| 1316020852 | James K Cossaart | Dentist | 6 Park Pl, Bristol, VT 05443-1229 | 2006-10-20 |
| 1235182247 | Bristol Internal Medicine, PC | Internal Medicine | 6 Park Pl, Bristol, VT 05443-1229 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547344 | Amanda Elnora Knight | Occupational Therapist | 2555 Monkton Road, Bristol, VT 05443 | 2017-09-19 |
| 1841655289 | Michelle S. Davis | Speech-Language Pathologist | 220 Airport Drive, Mt. Abraham Union Middle/high School, Bristol, VT 05443 | 2015-12-30 |
| 1871840843 | Five-town Health Alliance, Inc | Family Medicine | 61 Pine Street, Building 4, Bristol, VT 05443 | 2012-08-09 |
| 1477855500 | Cassandra Corcoran | Counselor | 2722 Mountain Road, Bristol, VT 05443 | 2010-11-22 |
| 1427207182 | Chiropractic Health & Wellness PC | Chiropractor | 14 School St., Suite 105, Bristol, VT 05443 | 2008-09-17 |
| 1477756526 | Jennifer Ann Oxford | Occupational Therapist | 71 Mountain Street, Live Full Therapies LLC, Bristol, VT 05443 | 2007-06-07 |
| 1477685899 | Kenneth Schoen | Counselor | 802 Forge Hill Road, Lincoln, VT 05443 | 2007-03-12 |
| 1881747384 | Bristol Rescue Squad, Inc. | Ambulance | 45 Monkton Road, Bristol, VT 05443 | 2007-01-19 |
| 1730268103 | Diane K Greenberg | Physical Therapist | 167 Monkton Road, Suite 101b, Bristol, VT 05443 | 2006-11-04 |
| 1992800684 | Ann Dreher Fisher | Counselor | 14 School Street, Suite #9, Bristol, VT 05443 | 2006-09-14 |
| Find all providers in zip 05443 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| 1679879118 | Ravikumar Patel | Internal Medicine | 1 Medical Park Blvd Ste 255w, Bristol, TN 37620-7430 | 2011-02-01 |
| 1528274859 | Holly Amber Berndt | Internal Medicine | 1 Medical Park Blvd Ste 350w, Bristol, TN 37620-7471 | 2007-05-15 |
| 1396871422 | Basharat A. Shah | Internal Medicine | 1 Medical Park Blvd., Bristol Regional Medical Center, Bristol, TN 37620 | 2007-02-25 |
| 1114063948 | Wendie M Puls | Internal Medicine | 30 Mountain St, Bristol, VT 05443-1310 | 2007-01-29 |
| 1467520114 | Dorcas B Goodman | Internal Medicine | 11033 Nw State Road 20, Bristol, FL 32321-6406 | 2006-12-01 |
| 1235222506 | John Arthur Frazier | Internal Medicine | 123 Maple St, Bristol, CT 06010-5037 | 2006-10-01 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.