FLETCHER ALLEN HEALTH CARE-BLAIR PARK (NPI# 1124297007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124297007 |
| Entity Type | Organization |
| Organization Name | FLETCHER ALLEN HEALTH CARE-BLAIR PARK |
| Practice Address |
353 Blair Park Rd Williston VT 05495-7530 |
| Mailing Address |
Po Box 1063 Burlington VT 05402-1063 |
| Practice Telephone | 8028471600 |
| Mailing Telephone | 8028471882 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DR. PAUL TAHERI (FACULTY PRACTICE PRESIDENT) |
| Authorized Official Telephone | 8028471882 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 700 | VT | Suppliers |
| Street Address |
353 BLAIR PARK RD |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495-7530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639126774 | Bonitta C Steuer | Advanced Practice Midwife | 353 Blair Park Rd, Williston, VT 05495-7530 | 2006-05-27 |
| 1205458056 | Elisa Vautier | Registered Nurse | 353 Blair Park Rd, Williston, VT 05495-7530 | 2020-05-15 |
| 1356711659 | Amber Snow | Registered Nurse | 353 Blair Park Rd, Williston, VT 05495-7530 | 2015-09-29 |
| 1821490921 | Genevieve Flanders | Physician Assistant | 353 Blair Park Rd, Williston, VT 05495-7530 | 2014-09-19 |
| 1992142939 | Alexandra L Messerli | Internal Medicine | 353 Blair Park Rd, Williston, VT 05495-7530 | 2013-05-31 |
| 1841580859 | Kirsten Berggren | Nurse Practitioner | 353 Blair Park Rd, Williston, VT 05495-7530 | 2011-04-11 |
| 1609084755 | Hima B Kanuparthi | Dietitian, Registered | 353 Blair Park Rd, Williston, VT 05495-7530 | 2007-05-21 |
| 1013072347 | Lucy Miller | Internal Medicine | 353 Blair Park Rd, Williston, VT 05495-7530 | 2006-12-27 |
| 1992893242 | Fletcher Allen Health Care,inc | Durable Medical Equipment & Medical Supplies | 353 Blair Park Rd, Williston, VT 05495-7530 | 2006-10-11 |
| 1790870723 | Anne E Brena | Internal Medicine | 353 Blair Park Rd, Williston, VT 05495-7530 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1851642912 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 49 Wright Ave, Williston, VT 05495-4419 | 2012-09-28 |
| 1932208139 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 12845 Main Street, Williston, SC 29853-2711 | 2006-09-22 |
| 1295843670 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 78 Marshall Ave, Williston, VT 05495-8920 | 2006-08-27 |
| 1629182605 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 300 11th St W, Williston, ND 58801 | 2006-08-18 |
| 1558377762 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 108 Cornerstone Drive, Williston, VT 05495-4034 | 2006-07-31 |
| 1578584884 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-07-21 |
| 1912932567 | Medquest Inc | Durable Medical Equipment & Medical Supplies | 1602 11th St W, Williston, ND 58801-4506 | 2006-07-12 |
| 1215983721 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 71 Boxwood St, Williston, VT 05495 | 2006-05-26 |
| 1770042632 | Reliable Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 181 Commerce St, Williston, VT 05495-7150 | 2019-03-19 |
| Find all providers in WILLISTON | ||||
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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.