CHAMPLAIN VALLEY CARDIOVASCULAR ASSOCIATES, PC


Address: 364 Dorset St, Suite 1, South Burlington, VT 05403-6270
Phone: 8028626312

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VT 0006200 05

Office Location

Street Address 364 DORSET ST
SUITE 1
City SOUTH BURLINGTON
State VT
Zip Code 05403-6270

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SOUTH BURLINGTON
Zip Code 05403

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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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