JILL I BLUMBERG (NPI# 1811961576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811961576 |
Entity Type | Individual |
Full Name | JILL I BLUMBERG |
Credential | M.D. |
Practice Address |
331 Olcott Dr Suite U3 White River Junction VT 05001-9601 |
Practice Telephone | 8022956132 |
Mailing Telephone | 8022956132 |
Enumeration Date | 2006-02-17 |
Last Update Date | 2016-09-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 0420012818 | VT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 30203299 | 05 | |
VT | 1009068 | 05 |
Street Address |
331 OLCOTT DR SUITE U3 |
City | WHITE RIVER JUNCTION |
State | VT |
Zip Code | 05001-9601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801891882 | Mark M Nunlist | Family Medicine | 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | 2005-06-16 |
1699151266 | Kellie Larochelle | Physician Assistant | 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 | 2015-08-06 |
1225446230 | Katherine Goyette | Nurse Practitioner | 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 | 2014-07-23 |
1679739494 | Vreeland Clinic | Chiropractor | 331 Olcott Dr, Suite U1, White River Junction, VT 05001-9601 | 2008-07-31 |
1548436876 | Krista Iuzzolino Gould | Nurse Practitioner | 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 | 2008-05-06 |
1477633345 | Lynne Casey Chow | Nurse Practitioner | 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 | 2006-10-16 |
1992791172 | Sean H Uiterwyk | Family Medicine | 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 | 2005-09-23 |
1790780211 | David J Park | Family Medicine | 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | 2005-06-21 |
1326043308 | Michael L Lyons | Family Medicine | 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | 2005-06-16 |
1841295821 | Julie S Davis | Family Medicine | 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | 2005-06-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265071674 | Angela Norton | Dietitian, Registered | White River Junction Va, 163 Veterans Drive, White River Junction, VT 05001 | 2020-01-02 |
1295221687 | Arielle Courtney Strickland | Behavioral Analyst | 91 Farmvu Dr, White River Junction, VT 05001 | 2018-07-09 |
1639544075 | Maureen D Bogosian | Counselor | 211 North Main St, White River, VT 05001 | 2015-12-10 |
1104254515 | Peter David Tenenbaum | Social Worker | 67 Raymond Circle, White River Junction, VT 05001 | 2013-10-22 |
1124311493 | Amber J Leavitt | Counselor | 226 Holiday Dr Ste 21, White River Junction, VT 05001 | 2011-05-19 |
1083820963 | Eileen Frances Lanza | Counselor | 3 Palmer Court, White River Junction, VT 05001 | 2007-05-15 |
1841337912 | Carol B. Collier | Counselor | 5 Palmer Court, White River Junction, VT 05001 | 2007-01-30 |
1174682041 | Mark G Koch | Marriage & Family Therapist | 1011 N. Main St. #21, White River Junction, VT 05001 | 2006-12-07 |
1518032564 | White River Family Practice PC | Family Medicine | 331 Olcott Drive, Suite U3, White River Jct, VT 05001 | 2006-11-22 |
1396818100 | Richard Sandford Zubarik | Internal Medicine | Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 | 2006-11-17 |
Find all providers in zip 05001 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801891882 | Mark M Nunlist | Family Medicine | 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | 2005-06-16 |
1902444722 | Penny Ann Osgood | Family Medicine | 163 Veterans Drive, White River Junction, VT 05009-0001 | 2019-12-11 |
1063723153 | Sarah E B Logan | Family Medicine | 212 Holiday Dr, Suite 4, White River Junction, VT 05001-2040 | 2010-06-23 |
1255301016 | Carol Lee Blackwood | Family Medicine | 215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009-0001 | 2006-01-25 |
1992791172 | Sean H Uiterwyk | Family Medicine | 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 | 2005-09-23 |
1790780211 | David J Park | Family Medicine | 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | 2005-06-21 |
1326043308 | Michael L Lyons | Family Medicine | 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | 2005-06-16 |
1841295821 | Julie S Davis | Family Medicine | 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | 2005-06-16 |
1457356339 | Angela M Toms | Family Medicine | 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 | 2005-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730700469 | Gfm House Call Practice | Family Medicine | 23 Stratton, Winhall, VT 05340 | 2020-05-05 |
1447800792 | Peter M Sher, Md, Plc | Family Medicine | 4 S Main St Ste 6, Hardwick, VT 05843-7070 | 2019-09-18 |
1992353445 | Village Health, Inc. | Family Medicine | 5 Park St Ste 3a, Middlebury, VT 05753-1169 | 2019-08-28 |
1528620838 | Five-town Health Alliance, Inc | Family Medicine | 56 College St, Middlebury, VT 05753-1447 | 2019-07-08 |
1134604622 | Little Rivers Health Care, Inc. | Family Medicine | 36 Oxbow Dr, Bradford, VT 05033-9037 | 2018-10-01 |
1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
1225400237 | Community Health Centers of The Rutland Region, Inc. | Family Medicine | 71 Allen Pond, Suite 403, Rutland, VT 05701-4570 | 2015-10-29 |
1871927806 | Langdon Swain Lawrence | Family Medicine | 4276 Silver St, Hinesburg, VT 05461-9492 | 2013-08-27 |
1871840843 | Five-town Health Alliance, Inc | Family Medicine | 61 Pine Street, Building 4, Bristol, VT 05443 | 2012-08-09 |
1770843575 | Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | 2012-05-25 |
Find all providers with the same taxonomy |
City | WHITE RIVER JUNCTION |
Zip Code | 05001 |
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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.