GREEN MOUNTAIN FAMILY PRACTICE


Address: 63 Crescent Ave, Northfield, VT 05663-5704
Phone: 8024854161

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VT 0005666 05

Other Data Sources

Entity Type Entity Name Entity Address
Vermont Business Registrations GREEN MOUNTAIN FAMILY PRACTICE Northfield, VT

Office Location

Street Address 63 CRESCENT AVE
City NORTHFIELD
State VT
Zip Code 05663-5704

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City NORTHFIELD
Zip Code 05663

Improve Information

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Dataset Information

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.

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