MRS. VIVIAN M CALOBRISI (NPI# 1801973334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801973334 |
| Entity Type | Individual |
| Full Name | MRS. VIVIAN M CALOBRISI |
| Credential | PA-C |
| Practice Address |
41 Medical Village Dr Newport VT 05855-9835 |
| Practice Telephone | 8023343504 |
| Practice Fax Number | 8023343512 |
| Mailing Telephone | 8023343504 |
| Mailing Fax Number | 8023343512 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0550030279 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | LADIES FIRST | 8000219 | 01 |
| VT | 0002510 | 05 | |
| VT | RAILROAD MEDICARE | P00055182 | 01 |
| VT | BLUE SHIELD | 00028004 | 01 |
| VT | MVP | 118505 | 01 |
| Street Address |
41 MEDICAL VILLAGE DR |
| City | NEWPORT |
| State | VT |
| Zip Code | 05855-9835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213984 | Mark Christopher Meredith | Surgery | 41 Medical Village Dr, Newport, VT 05855-9835 | 2005-08-26 |
| 1720428568 | Peter Benjamin Schroer | Surgery | 41 Medical Village Dr, Newport, VT 05855-9835 | 2013-06-25 |
| 1740467356 | Frank Leonard Provato | Internal Medicine | 41 Medical Village Dr, Community Medical Associates, Newport, VT 05855-9835 | 2008-01-25 |
| 1871604702 | Elizabeth H Hartman | Nurse Practitioner | 41 Medical Village Dr, Newport, VT 05855-9835 | 2006-08-31 |
| 1952411225 | Christopher Rickman | Internal Medicine | 41 Medical Village Dr, Newport, VT 05855-9835 | 2006-08-30 |
| 1407966682 | Robert A Trembley | Internal Medicine | 41 Medical Village Dr, Newport, VT 05855-9835 | 2006-08-30 |
| 1861485617 | Larry Allen Sisson | Surgery | 41 Medical Village Dr, Newport, VT 05855-9835 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1265949903 | Jodeci Malixi | Dentist | 494 Highland Ave #1, Newport, VT 05855 | 2018-01-03 |
| 1568971984 | Roderic R Knights Jr. | Social Worker | 121 Duchess Ave Ste B, Newport, VT 05855 | 2017-09-28 |
| 1952753311 | Gabrielle Marcotte | Speech-Language Pathologist | 189 Prouty Dr, Newport, VT 05855 | 2016-07-11 |
| 1215385919 | Elizabeth Torres | Behavioral Analyst | 4088 Hinman Settler Rd, Newport, VT 05855 | 2016-06-03 |
| 1598147175 | Emmi Rena Chapdelaine | Massage Therapist | 419b Route 105, Newport, VT 05855 | 2015-06-19 |
| 1164721783 | Elaine Marie Nicol-cashin | Pharmacist | 59 Waterfront Plaza, Newport, VT 05855 | 2011-03-22 |
| 1053589374 | Francis L Pinard Od PC | Optometrist | 124 East Main Street, Suite #1, Newport, VT 05855 | 2008-02-20 |
| 1073717112 | Freedom Physical Therapy, P.c | Physical Therapist | 419a Vt Rt 105, Suite B, Newport, VT 05855 | 2007-06-13 |
| 1902027402 | Nancy Lynn Stevenson-lyon | Specialist/Technologist | 209 Veterans Ave., Newport, VT 05855 | 2007-05-01 |
| Find all providers in zip 05855 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912435587 | Julie Woodside | Physician Assistant | 19 Friendship St Unit 130, Newport, RI 02840-2200 | 2017-05-26 |
| 1023361953 | Bethany N Day | Physician Assistant | 26 Main St Ste 2, Newport, ME 04953-4163 | 2012-10-16 |
| 1053483222 | Kathleen Marie Johnston | Physician Assistant | 20 Powel Avenue, Comprehensive Spine Center, Newport Hospital, Newport, RI 02840 | 2006-11-14 |
| 1609956887 | Stacey Marie Merz | Physician Assistant | 775 Sw 9th St Ste B, Newport, OR 97365-4850 | 2006-10-16 |
| 1134138480 | Katie Focht | Physician Assistant | 9102 Rockhill Ln, Newport, MI 48166-7818 | 2006-08-05 |
| 1124066642 | Benjamin Holobowicz Jr. | Physician Assistant | 11 John Stark Hwy, Newport, NH 03773 | 2006-06-04 |
| 1407842636 | Terry L Jones | Physician Assistant | 930 Sw Abbey St Ste A, Newport, OR 97365-4820 | 2005-09-22 |
| 1770193740 | Brigin Lynette Zachry | Physician Assistant | 434 4th St Ste 309, Newport, TN 37821-3735 | 2020-08-05 |
| 1245883602 | Daniel Allen Crall Sr. | Physician Assistant | 338 Howard Blvd, Newport, NC 28570-7928 | 2019-07-24 |
| 1225698467 | Rebecca M Heidemann | Physician Assistant | 1400 Grand Ave, Newport, KY 41071-2570 | 2019-06-19 |
| Find all providers in NEWPORT | ||||
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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.