GREEN MOUNTAIN FAMILY PRACTICE (NPI# 1194701623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194701623 |
Entity Type | Organization |
Organization Name | GREEN MOUNTAIN FAMILY PRACTICE |
Practice Address |
63 Crescent Ave Northfield VT 05663-5704 |
Practice Telephone | 8024854161 |
Practice Fax Number | 8024854163 |
Mailing Telephone | 8024854161 |
Mailing Fax Number | 8024854163 |
Enumeration Date | 2005-12-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CRAIG DEMMING SULLIVAN (PARTNER) |
Authorized Official Telephone | 8024854161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 0005666 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Vermont Business Registrations | GREEN MOUNTAIN FAMILY PRACTICE | Northfield, VT |
Street Address |
63 CRESCENT AVE |
City | NORTHFIELD |
State | VT |
Zip Code | 05663-5704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932182292 | Deborah M O Hara | Family Medicine | 63 Crescent Ave, Green Mountain Family Practice, Northfield, VT 05663-5704 | 2005-11-21 |
1770601544 | Sarah Lynn Davies | Family Medicine | 63 Crescent Ave, Green Mountain Family Practice, Northfield, VT 05663-5704 | 2007-03-27 |
1629054143 | Kevin Daniel Crowley | Family Medicine | 63 Crescent Ave, Northfield, VT 05663-5704 | 2005-12-16 |
1194701615 | Craig D Sullivan | Family Medicine | 63 Crescent Ave, Green Mountain Family Practice, Northfield, VT 05663-5704 | 2005-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841622420 | Erin Palmer | Counselor | 38 N. Main Street, Suite 1, Northfield, VT 05663 | 2013-08-06 |
1861603599 | Laura Snell Murphy | Occupational Therapist | 71 Richardson Avenue, Northfield, VT 05663 | 2007-05-24 |
1972715886 | Colleen Gayle Wilford | Physical Therapist | 171 Richardson Ave., Northfield, VT 05663 | 2007-05-04 |
1487179933 | Daisy Natalia Ramirez | Specialist/Technologist | 158 Harmon Dr, Nu Box 1942, Northfield, VT 05663 | 2017-08-06 |
1972924405 | Barbara Steven Balch | Registered Nurse | 130 Fisher Rd, Central Vt Medical Center, Berlin, VT 05663 | 2013-12-31 |
1912341306 | Loretta B. Charles | Nurse Practitioner | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 | 2013-04-29 |
1134495054 | Timothy John Partridge | Family Medicine | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 | 2012-03-26 |
1881975522 | Elizabeth Nugba | Physician Assistant | 87 Paine Mountain Dr, Northfield, VT 05663 | 2011-09-08 |
1770596991 | Debra Maloney-evans | Nurse Practitioner | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663-0000 | 2006-08-15 |
1932142577 | Melinda J Mariano | Speech-Language Pathologist | 749 Route 12 South, Northfield, VT 05663-0142 | 2006-06-13 |
Find all providers in zip 05663 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487864997 | Somers Medical Care, LLC | Clinic/Center | 1118 Tilton Rd, Northfield, NJ 08225-1230 | 2007-05-23 |
1013949189 | Tendercare Pediatrics | Clinic/Center | 2322 New Rd, Northfield, NJ 08225-1440 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346859089 | Garnet Transport Medicine, LLC | Clinic/Center | 1000 River St Bldg 900, Essex Junction, VT 05452-4201 | 2020-07-29 |
1114195419 | Lakes Region Healthcare | Clinic/Center | 49 Castleton Meadows Ln, Castleton, VT 05735-9011 | 2008-02-20 |
1407939721 | Family Practice Associates Inc | Clinic/Center | 272 No Main St, Suite 101, Cambridge, VT 05444 | 2006-10-23 |
1093761835 | Charlotte Family Health Center Inc | Clinic/Center | 527 Ferry Rd, Charlotte, VT 05445-9555 | 2006-05-25 |
1437618022 | Rutland Family Care, LLC | Clinic/Center | 25 N Main St, Rutland, VT 05701-6100 | 2019-03-14 |
1487124202 | Gordon Gieg Md Pllc | Clinic/Center | 5138 Shelburne Rd, Shelburne, VT 05482-6698 | 2018-12-05 |
1144755455 | Samuel R. Stoyak, M.d., Plc | Clinic/Center | 43 Timber Ln, South Burlington, VT 05403-5201 | 2017-04-24 |
1306116801 | Hope Medical Clinic Pllc | Clinic/Center | 92 Allen St, Rutland, VT 05701-4562 | 2011-12-31 |
1336397926 | Southwestern Vermont Medical Center Inc. | Clinic/Center | 339 Dewey St, Bennington, VT 05201-2253 | 2008-09-08 |
1861640161 | Little Rivers Health Care, Inc. | Clinic/Center | 65 Main Street, Wells River, VT 05081 | 2008-08-29 |
Find all providers with the same taxonomy |
City | NORTHFIELD |
Zip Code | 05663 |
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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.