GREGORY J MACDONALD (NPI# 1386663094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386663094 |
| Entity Type | Individual |
| Full Name | GREGORY J MACDONALD |
| Credential | MD |
| Practice Address |
130 Fisher Rd Mob- A Suite 2-1 Berlin VT 05602-9516 |
| Mailing Address |
Po Box 547 Central Vermont Medical Center-finance Dept Barre VT 05641-0547 |
| Practice Telephone | 8022255660 |
| Practice Fax Number | 8022292533 |
| Mailing Telephone | 8022255660 |
| Mailing Fax Number | 8022299533 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
042.0006170 | VT | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
420006170 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0004794 | 05 | |
| VT | RAIL ROAD MEDICARE | 060014974 | 01 |
| VT | RAILROAD MEDICARE LINKED TO CVMC MGP | P01125401 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720290778 | Gregory Lee Macdonald | Specialist/Technologist | 2804 Kings Ct, Terre Haute, IN 47802-3356 | 2007-05-03 |
| 1730299595 | Gregory Scott Macdonald | Dentist | 552 Vale Park Rd, Suite A, Valparaiso, IN 46385-2547 | 2006-08-30 |
| 1104077296 | Gregory Mason Macdonald | Counselor | 12647 Olive Blvd, Spectrum Healthcare Resources, Creve Coeur, MO 63141 | 2008-10-07 |
| 1508890872 | Gregory P Macdonald | Psychiatry & Neurology | 101 W 8th Ave, Ste 4200, Spokane, WA 99204-2307 | 2006-07-10 |
| Street Address |
130 FISHER RD MOB- A SUITE 2-1 |
| City | BERLIN |
| State | VT |
| Zip Code | 05602-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067063 | Michael S Cohn | Urology | 130 Fisher Rd, Mob-c, Ste 1, Berlin, VT 05602-9516 | 2005-07-18 |
| 1194384974 | David Alexander Segel | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-06-06 |
| 1497210959 | Brenda Neff | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-02-08 |
| 1861969412 | Michael Ed Shaw | Physician Assistant | 130 Fisher Rd, Berlin, VT 05602-9516 | 2018-10-31 |
| 1750819371 | Jamie D Bariteau | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2017-05-25 |
| 1104378066 | Amy Gendron | Dietitian, Registered | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2016-10-26 |
| 1457809238 | Bonnie Solley | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2016-09-21 |
| 1598150914 | Melissa Beaudry | Nurse Practitioner | 130 Fisher Rd, Mob-b Suite 3, Berlin, VT 05602 | 2015-04-02 |
| 1508256843 | Heidi Eames | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2015-01-26 |
| 1053725200 | Brett Erdreich | Internal Medicine | 130 Fisher Rd, Berlin, VT 05602 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| 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 |
|---|---|---|---|---|
| 1598824658 | Saadat U Khan Md Pa | Internal Medicine | 213 High St, Saadat U Khan Md Prof Assn, Berlin, NH 03570 | 2006-12-06 |
| 1053936906 | Tidalhealth Specialty Care, LLC | Internal Medicine | 314 Franklin Ave Ste 301, Berlin, MD 21811-1238 | 2020-06-16 |
| 1649562042 | Advocare, LLC | Internal Medicine | 175 Cross Keys Rd, Bldg. 300 A, Berlin, NJ 08009-9263 | 2011-05-04 |
| 1639474877 | Stellar Medical Group | Internal Medicine | 175 Cross Keys Rd, Suite 101a, Berlin, NJ 08009-9263 | 2011-01-19 |
| 1316171671 | Berlin Medical Assco | Internal Medicine | 175 Cross Keys Rd, 300a, Berlin, NJ 08009-9263 | 2009-05-14 |
| 1295998094 | Stefan Lischke | Internal Medicine | 130 Fisher Rd, Mob-a, Suite 2-1, Berlin, VT 05602-9516 | 2008-07-02 |
| 1093877730 | Joachim Georg Mueller | Internal Medicine | 130 Fisher Rd, Cardiology Mob-a Suite 2-1, Berlin, VT 05602-9516 | 2006-12-15 |
| 1790704401 | Mark Robert Heitzman | Internal Medicine | 130 Fisher Rd, Mob-a Suite 2-1, Berlin, VT 05602-9516 | 2006-07-19 |
| 1376562074 | Michael G. Hayes | Internal Medicine | 130 Fisher Rd, Mob-a Suite 2-1, Berlin, VT 05602-9516 | 2006-07-19 |
| 1124053681 | David M Elbaum | Internal Medicine | 175 Cross Keys Rd, 300a, Berlin, NJ 08009-9263 | 2006-07-12 |
| Find all providers in BERLIN | ||||
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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.