NOELLE C THABAULT MD LLC (NPI# 1265622070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265622070 |
| Entity Type | Organization |
| Organization Name | NOELLE C THABAULT MD LLC |
| Practice Address |
368 Dorset St Suite 2b South Burlington VT 05403-6236 |
| Practice Telephone | 8028627555 |
| Practice Fax Number | 8028629555 |
| Mailing Telephone | 8028627555 |
| Mailing Fax Number | 8028629555 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DR. NOELLE THABAULT (PHYSICAN/OWNER) |
| Authorized Official Telephone | 8028627555 |
| 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 |
042-0008587 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1014996 | 05 |
| Street Address |
368 DORSET ST SUITE 2B |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336107192 | Noelle C Thabault | Obstetrics & Gynecology | 368 Dorset St, Suite 2b, South Burlington, VT 05403-6212 | 2006-05-02 |
| 1578955761 | Trillium Integrative Medicine | Nurse Practitioner | 368 Dorset St, South Burlington, VT 05403-6236 | 2015-02-24 |
| 1720322845 | Get Healthy Vermont, PC | Chiropractor | 368 Dorset St, Suite 3, South Burlington, VT 05403-6236 | 2012-11-15 |
| 1366756686 | Paulette J Thabault | Nurse Practitioner | 368 Dorset St, Suite 1, South Burlington, VT 05403-6236 | 2010-07-28 |
| 1487838868 | Goodhealth Diagnostic Center, Inc. | Radiology | 368 Dorset St, Suite 2, South Burlington, VT 05403-6236 | 2007-12-21 |
| 1821213513 | Goodhealth, P.C. | Radiology | 368 Dorset St, Suite 2, South Burlington, VT 05403-6236 | 2007-04-16 |
| 1326101080 | Heather Lynn Diederich | Chiropractor | 368 Dorset St, Ste 3, South Burlington, VT 05403-6236 | 2006-12-17 |
| 1689605073 | John M Wright | Internal Medicine | 368 Dorset St, Suite 1, South Burlington, VT 05403-6236 | 2006-07-05 |
| 1417908286 | Clodagh Coghlan | Nurse Practitioner | 368 Dorset St, Suite 1, South Burlington, VT 05403-6236 | 2006-05-15 |
| 1851341671 | Peter Gunther | Internal Medicine | 368 Dorset St, Suite 1, South Burlington, VT 05403-6212 | 2006-05-11 |
| Find all providers in the same location | ||||
| 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 |
| 1174830251 | Vermont Gynecology, PC | Obstetrics & Gynecology | 1775 Williston Rd Ste 110, South Burlington, VT 05403-6491 | 2010-09-09 |
| 1235463027 | Jane G Conolly | Obstetrics & Gynecology | 1775 Williston Rd, Suite 110, South Burlington, VT 05403-6491 | 2009-09-25 |
| 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 NOELLE C THABAULT MD LLC.
| 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.