ROBERT BACKUS (NPI# 1629068184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629068184 |
Entity Type | Individual |
Full Name | ROBERT BACKUS |
Credential | M.D. |
Practice Address |
185 Grafton Rd. Townshend VT 05353 |
Mailing Address |
Po Box 216 Townshend VT 05353-0216 |
Practice Telephone | 8023654331 |
Mailing Telephone | 8023654331 |
Mailing Fax Number | 8023657031 |
Enumeration Date | 2005-10-26 |
Last Update Date | 2008-01-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
0420006390 | VT | Allopathic & Osteopathic Physicians |
Street Address |
185 GRAFTON RD. |
City | TOWNSHEND |
State | VT |
Zip Code | 05353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598755068 | Maurice Geurts | Family Medicine | 185 Grafton Rd., Townshend, VT 05353 | 2005-10-26 |
1407947039 | Donald J. Jackson | Physician Assistant | 185 Grafton Rd., Townshend, VT 05353 | 2006-09-27 |
1790796498 | Matthew Allen Davis | Chiropractor | 185 Grafton Rd., Townshend, VT 05353 | 2006-08-10 |
1124049960 | Carlos G. Otis Health Care Center, Inc. | Clinic/Center | 185 Grafton Rd., Townshend, VT 05353 | 2006-07-21 |
1518958990 | Judith Tietz | Psychiatry & Neurology | 185 Grafton Rd., Townshend, VT 05353 | 2005-11-03 |
1003806480 | Elizabeth Linder | Pediatrics | 185 Grafton Rd., Townshend, VT 05353 | 2005-10-26 |
1326038878 | Kimona Alin | Family Medicine | 185 Grafton Rd., Townshend, VT 05353 | 2005-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225302615 | Mario Hasaj, LLC | Psychiatry & Neurology | 2643 Grafton Road, Mario Hasaj, LLC, Townshend, VT 05353 | 2012-03-02 |
1205930336 | Carlos G Otis Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 170 Grafton Rd, Townshend, VT 05353 | 2006-09-11 |
1134119514 | Moss Linder | Family Medicine | 185 Grafton Road, Townshend, VT 05353 | 2005-10-26 |
1255337473 | Carlos G. Otis Health Care Center Inc. | General Acute Care Hospital | 185 Grafton Rd, Townshend, VT 05353 | 2005-06-22 |
1639510787 | Telos, LLC | Family Medicine | 152 Grafton Road, Townshend, VT 05353 | 2013-07-17 |
1497012793 | Danny Paul Ballentine | Physician Assistant | 185 Grafton Road, Townshend, VT 05353 | 2012-04-12 |
1194081737 | Jesper Jerome Brickley | Family Medicine | 185 Grafton Road, Townshend, VT 05353 | 2012-04-09 |
1710175385 | Maureen Mary Mahoney | Physician Assistant | 185 Grafton Road, Townshend, VT 05353 | 2007-10-09 |
1093843328 | Carlos G Otis Health Care Center Inc | Medicare Defined Swing Bed Unit | 185 Grafton Rd, Townshend, VT 05353 | 2007-02-28 |
1952447971 | Amalia F Lee | Psychiatry & Neurology | 185 Grafton Road, Townshend, VT 05353 | 2007-01-29 |
Find all providers in zip 05353 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962432880 | Walter J Griffiths | Family Medicine | 15 Hapgood St, Bellows Falls, VT 05101-1507 | 2006-07-04 |
1679511711 | Martha Stitelman | Family Medicine | 600blair Park Rd, Suite 190, Williston, VT 05495 | 2006-06-02 |
1669746020 | Park Avenue Medical Associates LLC | Family Medicine | 187 Oak Grove Ave, Brattleboro, VT 05301 | 2012-03-02 |
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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.