CHAMPLAIN VALLEY CARDIOVASCULAR ASSOCIATES, PC (NPI# 1386609253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386609253 |
Entity Type | Organization |
Organization Name | CHAMPLAIN VALLEY CARDIOVASCULAR ASSOCIATES, PC |
Practice Address |
364 Dorset St Suite 1 South Burlington VT 05403-6270 |
Mailing Address |
Po Box 84 Brattleboro VT 05302-0084 |
Practice Telephone | 8028626312 |
Practice Fax Number | 8026583984 |
Mailing Telephone | 8028626312 |
Mailing Fax Number | 8026583984 |
Enumeration Date | 2006-04-20 |
Last Update Date | 2009-11-09 |
Authorized Official Name | DR. DANIEL S RAABE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 8028626312 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 0006200 | 05 |
Street Address |
364 DORSET ST SUITE 1 |
City | SOUTH BURLINGTON |
State | VT |
Zip Code | 05403-6270 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194093336 | Christopher Wright Cronin | Counselor | 364 Dorset St, 204, South Burlington, VT 05403-6270 | 2011-12-02 |
1497078695 | Vermont Center for Integrative Therapy, LLC | Psychologist | 364 Dorset St, Suite 204, South Burlington, VT 05403-6270 | 2010-03-03 |
1386893683 | Gillian Boudreau | Counselor | 364 Dorset St, Suite 212, South Burlington, VT 05403-6270 | 2008-09-11 |
1740460740 | Anne M Goldman | Social Worker | 364 Dorset St, Suite 204, South Burlington, VT 05403-6270 | 2007-11-07 |
1225221351 | Robert D Gordon Md Professional Corp | Dermatology | 364 Dorset St, Suite 204, South Burlington, VT 05403-6270 | 2007-08-22 |
1275632267 | Joseph F Winget | Specialist | 364 Dorset St, Suite 1, South Burlington, VT 05403-6270 | 2006-09-22 |
1831207166 | Candis Joan Cousins | Physician Assistant | 364 Dorset St, Ste 2, South Burlington, VT 05403-6270 | 2006-08-28 |
1821056912 | Steffen Hillemann | Specialist | 364 Dorset St, Suite 1, South Burlington, VT 05403-6270 | 2006-05-01 |
1922066026 | Walter D Gundel | Specialist | 364 Dorset St, Suite1, South Burlington, VT 05403-6270 | 2006-05-01 |
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 | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639614613 | Cara Dimasi | Internal Medicine | 62 Tilley Dr, South Burlington, VT 05403-4407 | 2016-12-29 |
1659534212 | Rony N Lahoud | Internal Medicine | 62 Tilley Dr Ste 101, South Burlington, VT 05403-4407 | 2008-07-03 |
1467537282 | Richard Leighton Page | Internal Medicine | 62 Tilley Dr, South Burlington, VT 05403-4407 | 2006-10-27 |
1578652996 | Martin M. Lewinter | Internal Medicine | 62 Tilley Dr, South Burlington, VT 05403-4407 | 2006-10-12 |
1104912310 | Peter Van Buren | Internal Medicine | 62 Tilley Dr, South Burlington, VT 05403-4407 | 2006-10-05 |
1013928910 | Edward Francis Terrien | Internal Medicine | 62 Tilley Dr, South Burlington, VT 05403-4407 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215599428 | Odyssey Cardiac Monitoring LLC | Internal Medicine | 8151 Route 116, Hinesburg, VT 05461-9749 | 2019-07-08 |
1336328152 | Stowe Cardiology | Internal Medicine | 377 Cross Rd, Stowe, VT 05672-4408 | 2007-10-29 |
1821122722 | Yasmin Masood | Internal Medicine | 111 Cholchester Ave, Fahc Uvm, Burlington, VT 05401 | 2007-03-15 |
1366571663 | Carol Ibach Duffy | Internal Medicine | 1988 East Rd, Shaftsbury, VT 05262-9778 | 2007-03-04 |
1760578900 | The O'brien Health Center | Internal Medicine | 18 Mansion St, Winooski, VT 05404-2030 | 2006-10-05 |
1770674137 | Henry Southall | Internal Medicine | 439 Washington Hwy, Morrisville, VT 05661-8969 | 2006-09-28 |
1598868499 | Matthew Wells Watkins | Internal Medicine | Card Unit, Mcclure 1, Fahc, Burlington, VT 05401 | 2006-09-06 |
1891709622 | Vermont Physicians Clinic | Internal Medicine | 6 Commons St, Rutland, VT 05701-4651 | 2006-07-28 |
1033159272 | Christopher M Terrien Jr. | Internal Medicine | 62 Tilley Dr, So Burlington, VT 05403-4407 | 2006-06-07 |
1447213384 | Michael E Robertello | Internal Medicine | 12 Commons St, Rutland, VT 05701-4651 | 2006-04-11 |
Find all providers with the same taxonomy |
City | SOUTH BURLINGTON |
Zip Code | 05403 |
Please comment or provide details below to improve the information on CHAMPLAIN VALLEY CARDIOVASCULAR ASSOCIATES, 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.