AMY THIBAULT (NPI# 1700832086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700832086 |
| Entity Type | Individual |
| Full Name | AMY THIBAULT |
| Credential | M.D. |
| Practice Address |
185 Tilley Dr South Burlington VT 05403-4484 |
| Practice Telephone | 8028627338 |
| Practice Fax Number | 8028628411 |
| Mailing Telephone | 8028627338 |
| Mailing Fax Number | 8028628411 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0420010606 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1009872 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134239296 | Amy Thibault | Social Worker | 811 Grand Ave Ste D, Sacramento, CA 95838-3466 | 2006-08-30 |
| Street Address |
185 TILLEY DR |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-4484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407800444 | Maitri Health Care for Women PC | Obstetrics & Gynecology | 185 Tilley Dr, Ste 57, South Burlington, VT 05403-4484 | 2006-05-22 |
| 1598324246 | Alice Kristina Pollvogt | Psychologist | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2019-06-06 |
| 1619446424 | Danielle Mavis Desroche | Naturopath | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2018-11-21 |
| 1457849341 | Margaret Brennan | Specialist/Technologist | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2018-04-25 |
| 1407204357 | Heather L Wright | Naturopath | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2016-06-01 |
| 1104291889 | Jenness Lee Kocsis | Chiropractor | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2015-12-07 |
| 1346613205 | Kelly Wagner | Naturopath | 185 Tilley Dr, Suite #51, South Burlington, VT 05403-4484 | 2015-11-01 |
| 1447680152 | Leah Starr | Advanced Practice Midwife | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2013-11-15 |
| 1740612456 | Meghan Yandow | Specialist/Technologist | 185 Tilley Dr, Hemmett Chiropractic and Rehab, South Burlington, VT 05403-4484 | 2013-08-05 |
| 1750636189 | Cory Robert Oesterle | Specialist | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2012-07-23 |
| Find all providers in the same location | ||||
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962841817 | Katherine Irving Areson | Obstetrics & Gynecology | 185 Tilley Dr Ste 57, South Burlington, VT 05403-4484 | 2013-06-24 |
| 1124073317 | Cheryl A Gibson | Obstetrics & Gynecology | 1775 Williston Rd Ste 110, South Burlington, VT 05403-6491 | 2006-05-24 |
| 1407800444 | Maitri Health Care for Women PC | Obstetrics & Gynecology | 185 Tilley Dr, Ste 57, South Burlington, VT 05403-4484 | 2006-05-22 |
| 1336107192 | Noelle C Thabault | Obstetrics & Gynecology | 368 Dorset St, Suite 2b, South Burlington, VT 05403-6212 | 2006-05-02 |
| 1518225275 | Lindsay Peet Smith | Obstetrics & Gynecology | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2012-05-01 |
| 1245563584 | Mt Mansfield Obstetrics and Gynecology | Obstetrics & Gynecology | 1775 Williston Rd, Suite 220, South Burlington, VT 05403-6491 | 2009-09-17 |
| 1588803290 | Nancy Carlson Fisher Md PC | Obstetrics & Gynecology | 1775 Williston Rd, Suite 220, South Burlington, VT 05403-6491 | 2009-02-19 |
| 1578593604 | Julie Melissa Wade | Obstetrics & Gynecology | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2006-07-04 |
| 1881634038 | Susan Smith | Obstetrics & Gynecology | 1775 Williston Rd, Suite 110, South Burlington, VT 05403-6491 | 2006-06-07 |
| 1619923992 | Jane Lowell | Obstetrics & Gynecology | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2006-05-26 |
| Find all providers in SOUTH BURLINGTON | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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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.