DR. ADAM MATTHEW KATCHKY (NPI# 1104394550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104394550 |
| Entity Type | Individual |
| Full Name | DR. ADAM MATTHEW KATCHKY |
| Credential | MD |
| Practice Address |
192 Tilley Dr South Burlington VT 05403-4440 |
| Practice Telephone | 8028470000 |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2018-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 042.0014183 | VT | Allopathic & Osteopathic Physicians |
| Street Address |
192 TILLEY DR |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629056817 | Tracie L Hammond | Physician Assistant | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2006-01-06 |
| 1154891307 | Margret Anne Kelly | Occupational Therapist | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2018-11-30 |
| 1194246405 | Brittany Owens Bryan | Physician Assistant | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2017-06-28 |
| 1356894372 | Wendy King | Physical Therapist | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2016-07-26 |
| 1538577812 | Chelsea Rapin | Physical Therapist | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2014-07-30 |
| 1114349099 | Orthocare Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 192 Tilley Dr, Suite 1142, South Burlington, VT 05403-4440 | 2014-01-13 |
| 1316298581 | Suzanne Decapua | Physician Assistant | 192 Tilley Dr, Uvm Medical Center - Orthopedics, South Burlington, VT 05403-4440 | 2012-09-27 |
| 1619223260 | Jessica Knight Savoy | Physician Assistant | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2012-08-01 |
| 1457623142 | Mbuyi Marie-claire Smith | Nurse Practitioner | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2012-01-27 |
| 1023389418 | Grigorios Delaportas | Physician Assistant | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2012-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194804096 | Associates In Orthopaedic Surgery, PC | Orthopaedic Surgery | 6 San Remo Drive, Suite 101, South Burlington, VT 05461 | 2006-11-03 |
| 1629401864 | Michael Blankstein | Orthopaedic Surgery | 192 Tilley Drive, (4380c1), South Burlington, VT 05403 | 2013-08-12 |
| 1881743664 | Nathaniel Jonathan Nelms | Orthopaedic Surgery | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2007-01-09 |
| 1891729794 | Patrick Joseph Mahoney | Orthopaedic Surgery | 6 San Remo Dr, South Burlington, VT 05403-6310 | 2006-07-10 |
| 1154374734 | Mark David Charlson | Orthopaedic Surgery | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831518497 | Russell Davignon | Orthopaedic Surgery | 225 Westwood Dr, Montpelier, VT 05602-8453 | 2014-04-10 |
| 1407297849 | Jeremy Korsh | Orthopaedic Surgery | 41 Sherman Dr, St Johnsbury, VT 05819-9280 | 2013-07-15 |
| 1558535989 | Sara Catherine Graves | Orthopaedic Surgery | 130 Fisher Rd, Mob-b, Ste 4, Cvmc Orthopedics & Sports Medicine, Berlin, VT 05602-9516 | 2008-04-16 |
| 1669677043 | Northwestern Medical Center, Inc. | Orthopaedic Surgery | 133 Fairfield St Ste 101, Saint Albans, VT 05478-1726 | 2007-06-18 |
| 1093725756 | Philip Wesley Hershberger | Orthopaedic Surgery | Va Hospital 215 N Heartland St, White River Junction, VT 05009-0001 | 2006-08-08 |
| 1659391662 | Donald Kinley | Orthopaedic Surgery | Exit One Park, 71 Gsp Drive, Brattleboro, VT 05302 | 2006-07-20 |
| 1609896117 | Claude Nichols | Orthopaedic Surgery | 795 College Parkway, Colchester, VT 05446 | 2006-07-20 |
| 1184655805 | Denise M Durant | Orthopaedic Surgery | 120 Zephyr Rd, Williston, VT 05495-7558 | 2006-07-05 |
| 1376587634 | Copley Hospital, Inc. | Orthopaedic Surgery | 555 Washington Hwy, Morrisville, VT 05661-8973 | 2006-06-16 |
| 1437193042 | John Turner Chard | Orthopaedic Surgery | 71 Gsp Dr., Brattleboro, VT 05302 | 2006-06-15 |
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| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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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.