VERMONT GYNECOLOGY, PC (NPI# 1174830251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174830251 |
| Entity Type | Organization |
| Organization Name | VERMONT GYNECOLOGY, PC |
| Practice Address |
1775 Williston Rd Ste 110 South Burlington VT 05403-6491 |
| Mailing Address |
Po Box 250 Shelburne VT 05482-0250 |
| Practice Telephone | 8776988496 |
| Mailing Telephone | 8776988496 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | DR. KYM MARGARET BOYMAN (PRESIDENT) |
| Authorized Official Telephone | 18776988496 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
042-0010597 | VT | Allopathic & Osteopathic Physicians |
| Street Address |
1775 WILLISTON RD STE 110 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-6491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124073317 | Cheryl A Gibson | Obstetrics & Gynecology | 1775 Williston Rd Ste 110, South Burlington, VT 05403-6491 | 2006-05-24 |
| 1740308808 | Jeanette Rivera | Obstetrics & Gynecology | 1775 Williston Rd Ste 110, South Burlington, VT 05403-6491 | 2007-03-27 |
| 1871549584 | Kym Boyman | Obstetrics & Gynecology | 1775 Williston Rd Ste 110, South Burlington, VT 05403-6491 | 2006-05-25 |
| 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 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448787 | Gamal H Eltabbakh | Obstetrics & Gynecology | 1060 Hinesburg Rd, Suite 301, South Burlington, VT 05403-7612 | 2005-09-22 |
| 1235463027 | Jane G Conolly | Obstetrics & Gynecology | 1775 Williston Rd, Suite 110, South Burlington, VT 05403-6491 | 2009-09-25 |
| 1265622070 | Noelle C Thabault Md LLC | Obstetrics & Gynecology | 368 Dorset St, Suite 2b, South Burlington, VT 05403-6236 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992759823 | Vermont Urogynecology Associates, PC | Obstetrics & Gynecology | 71 Knight Ln, Suite 10, Williston, VT 05495-4432 | 2006-05-22 |
| 1467806067 | Glen Mackenzie Md PC | Obstetrics & Gynecology | 160 Benmont Ave, Suite 22, Bennington, VT 05201-1873 | 2016-04-20 |
| 1205127354 | Stephen J Woodruff Md Pllc | Obstetrics & Gynecology | 22 Eastview Lane, Barre, VT 05641-5317 | 2011-04-25 |
| 1891740775 | Diane Charland | Obstetrics & Gynecology | 71 Knight Ln, Suite 10, Williston, VT 05495-4432 | 2006-05-22 |
| 1932154895 | Anne Viselli | Obstetrics & Gynecology | 71 Knight Ln, Suite 10, Williston, VT 05495-4432 | 2006-05-22 |
| 1174516397 | Sarah Perkins Dahl | Obstetrics & Gynecology | 345 Elm St, Bennington, VT 05201-2265 | 2005-08-23 |
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
Please comment or provide details below to improve the information on VERMONT GYNECOLOGY, PC.
| 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.