SOUTHWESTERN VERMONT MEDICAL CENTER INC (NPI# 1568604403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568604403 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Other Organization Name | SVMC MEDICAL ASSOCIATES |
| Practice Address |
140 Hospital Dr Suite 217 Bennington VT 05201-5009 |
| Mailing Address |
100 Hospital Dr Bennington VT 05201-5004 |
| Practice Telephone | 8024471536 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |
| Authorized Official Name | MARK NOVOTNY (CEO) |
| Authorized Official Telephone | 8024475014 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWESTERN VERMONT MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SVMC Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174758270 | Southwestern Vermont Medical Center Inc | Urology | 140 Hospital Dr, Suite 100, Bennington, VT 05201-5009 | 2009-05-19 |
| 1699919787 | Southwestern Vermont Medical Center Inc | Internal Medicine | 140 Hospital Dr, Suite 103, Bennington, VT 05201-5009 | 2009-04-21 |
| 1245479088 | Southwestern Vermont Medical Center Inc | Orthopaedic Surgery | 5957 Main St, Manchester Center, VT 05255-8913 | 2009-02-18 |
| 1336305721 | Southwestern Vermont Medical Center Inc | Obstetrics & Gynecology | 140 Hospital Dr, Suite 302, Bennington, VT 05201-5009 | 2008-08-05 |
| 1629010194 | Southwestern Vermont Medical Center Inc | Pharmacy | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-06-11 |
| Street Address |
140 HOSPITAL DR SUITE 217 |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266893 | Simon Paul Drew | Surgery | 140 Hospital Dr, Ste 203, Bennington, VT 05201-5015 | 2005-06-22 |
| 1437605201 | Robert Anthony Majors | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2016-08-31 |
| 1023562493 | Scott Lippacher | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2016-08-15 |
| 1285091850 | Karena Webber | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2016-01-27 |
| 1285010397 | Sheilah Scofield | Nurse Practitioner | 140 Hospital Dr, Suite 301, Bennington, VT 05201-5009 | 2015-07-31 |
| 1679951909 | Crystal Labbe-hasty | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2015-05-06 |
| 1740675065 | Kelsey Lange Pierce | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2015-04-02 |
| 1255734000 | Steve Rucker | Nurse Practitioner | 140 Hospital Dr, Suite 216, Bennington, VT 05201-5009 | 2014-10-07 |
| 1740682921 | Southwestern Vermont Medical Center, Inc | General Practice | 140 Hospital Dr, Bennington, VT 05201-5009 | 2014-09-19 |
| 1326485954 | Stefanie Ann Mcgowan | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2013-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1548720063 | Brooke Micaela Mcbride | Internal Medicine | 140 Hospital Dr Ste 301, Bennington, VT 05201-5018 | 2019-03-21 |
| 1730165234 | Richard A Wiseman | Internal Medicine | 140 Hospital Dr Ste 108, Bennington, VT 05201-5010 | 2005-12-16 |
| 1750551412 | James George Poole | Internal Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2008-03-08 |
| 1912002676 | Marisa Friscia Md | Internal Medicine | 194 North St, Bennington, VT 05201-1874 | 2006-09-14 |
| 1770694663 | Carol Mahon Salazar | Internal Medicine | 325 North St, Va Clinic, Bennington, VT 05201-1858 | 2006-08-31 |
| 1497779318 | Nancy Schuster | Internal Medicine | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-07-26 |
| 1780603647 | Steven D Anisman | Internal Medicine | 140 Hospital Dr, Suite 312, Bennington, VT 05201-5009 | 2006-07-19 |
| 1851323554 | Richard T Burtis | Internal Medicine | 339 Dewey St, Bennington, VT 05201-2253 | 2006-07-06 |
| 1326074691 | David M Sischy | Internal Medicine | 140 Hospital Dr, Bennington, VT 05201-5009 | 2006-06-25 |
| 1356385017 | G Richard Dundas | Internal Medicine | 339 Dewey St, Bennington, VT 05201-5006 | 2006-06-15 |
| Find all providers in BENNINGTON | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
Please comment or provide details below to improve the information on SOUTHWESTERN VERMONT MEDICAL CENTER INC.
| 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.