SOUTHWESTERN VERMONT MEDICAL CENTER INC (NPI# 1174758270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174758270 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Other Organization Name | SVMC UROLOGY |
| Practice Address |
140 Hospital Dr Suite 100 Bennington VT 05201-5009 |
| Mailing Address |
100 Hospital Dr Bennington VT 05201-5004 |
| Practice Telephone | 8024476253 |
| Practice Fax Number | 8024423017 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Authorized Official Name | MARK NOVOTNY (CEO) |
| Authorized Official Telephone | 8024475014 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SVMC Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699919787 | Southwestern Vermont Medical Center Inc | Internal Medicine | 140 Hospital Dr, Suite 103, Bennington, VT 05201-5009 | 2009-04-21 |
| 1568604403 | Southwestern Vermont Medical Center Inc | Internal Medicine | 140 Hospital Dr, Suite 217, Bennington, VT 05201-5009 | 2009-03-24 |
| 1245479088 | Southwestern Vermont Medical Center Inc | Orthopaedic Surgery | 5957 Main St, Manchester Center, VT 05255-8913 | 2009-02-18 |
| 1336305721 | Southwestern Vermont Medical Center Inc | Obstetrics & Gynecology | 140 Hospital Dr, Suite 302, Bennington, VT 05201-5009 | 2008-08-05 |
| 1629010194 | Southwestern Vermont Medical Center Inc | Pharmacy | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-06-11 |
| Street Address |
140 HOSPITAL DR SUITE 100 |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266893 | Simon Paul Drew | Surgery | 140 Hospital Dr, Ste 203, Bennington, VT 05201-5015 | 2005-06-22 |
| 1437605201 | Robert Anthony Majors | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2016-08-31 |
| 1023562493 | Scott Lippacher | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2016-08-15 |
| 1285091850 | Karena Webber | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2016-01-27 |
| 1285010397 | Sheilah Scofield | Nurse Practitioner | 140 Hospital Dr, Suite 301, Bennington, VT 05201-5009 | 2015-07-31 |
| 1679951909 | Crystal Labbe-hasty | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2015-05-06 |
| 1740675065 | Kelsey Lange Pierce | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2015-04-02 |
| 1255734000 | Steve Rucker | Nurse Practitioner | 140 Hospital Dr, Suite 216, Bennington, VT 05201-5009 | 2014-10-07 |
| 1740682921 | Southwestern Vermont Medical Center, Inc | General Practice | 140 Hospital Dr, Bennington, VT 05201-5009 | 2014-09-19 |
| 1326485954 | Stefanie Ann Mcgowan | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2013-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446993 | Anthony Herbert Donaldson | Urology | 140 Hospital Dr, Suite 100, Bennington, VT 05201-5009 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114293727 | Benjamin King | Urology | 111 Colchester Ave # Ep-5, Burlington, VT 05401-1473 | 2012-03-28 |
| 1437304250 | Louis John Dibella Jr. | Urology | 38 Park Street, Unit 14g, Florlam Park, VT 07932 | 2008-11-20 |
| 1760656078 | Jab Inc | Urology | 64 Colchester Avenue, Burlington, VT 05401-1417 | 2008-04-17 |
| 1619174612 | Brian Hilbert Irwin | Urology | 111 Colchester Ave. Acc/ Ep5, Fahc Urology, Burlington, VT 05401 | 2007-07-02 |
| 1356437925 | Craig Rinder | Urology | 375 Canal Street, Brattleboro, VT 05301-6616 | 2006-10-04 |
| 1205934247 | John A Bisson | Urology | 64 Colchester Ave, Burlington, VT 05401-1417 | 2006-09-21 |
| 1205941879 | Twin River Urology | Urology | 108 No Main St, Twin River Urology, White River Jct, VT 05001 | 2006-08-21 |
| 1326069337 | Ahmet Cengiz Esenler | Urology | 6 Crest Rd, Urology, Saint Albans, VT 05478-9753 | 2006-07-22 |
| 1649245382 | Ernest M Bove | Urology | 145 Allen St, Rutland, VT 05701 | 2006-02-17 |
| 1427021286 | John Andrew Dreslin | Urology | 130 Fisher Rd, Mob-c,ste 1, Cvmc Urology, Berlin, VT 05602-9000 | 2006-02-10 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
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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.