GARY MOELICH (NPI# 1821171794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821171794 |
| Entity Type | Individual |
| Full Name | GARY MOELICH |
| Credential | AA |
| Practice Address |
100 Hospital Drive Bennington VT 05201 |
| Practice Telephone | 8024426361 |
| Mailing Telephone | 8024426361 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AAA0000021 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367H00000X | Anesthesiologist Assistant | 002862 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1014522 | 05 |
| Street Address |
100 HOSPITAL DRIVE |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194223578 | Rebecca Filson | Nurse Practitioner | 100 Hospital Drive, Box 65, Bennington, VT 05201 | 2018-01-31 |
| 1689628786 | Anesthesiology Associates of Bennington | Anesthesiology | 100 Hospital Drive, Anesthesia Department, Bennington, VT 05201-5004 | 2006-05-22 |
| 1538127139 | Daniel W Fodor | Radiology | 100 Hospital Drive, Bennington, VT 05201 | 2006-05-03 |
| 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 | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530029 | Kelsey Buran | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-08-29 |
| 1619453958 | Mary Campbell | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-18 |
| 1932621570 | Cody Holloway | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2017-07-15 |
| 1396126207 | Kimberley Monnet | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2015-06-16 |
| 1700217015 | Suela Hysenaj | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2013-12-12 |
| 1881722031 | Timothy Scott Snyder | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2007-03-01 |
| 1962514406 | John Calvin Gower | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962984047 | Katie Elizabeth Noel | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2018-09-05 |
| 1730558396 | Sara J. Church | Anesthesiologist Assistant | 111 Colchester Ave., Uvm Medical Center - Dept. of Anesthesiology, Burlington, VT 05401 | 2015-09-24 |
| 1134529340 | Matthew Peter Fazio | Anesthesiologist Assistant | 111 Colchester Ave., Uvm Mc - Anesthesiology, Burlington, VT 05401 | 2014-08-26 |
| 1285040352 | Jay Benjamin Ginns | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-07-09 |
| 1396089553 | Paul R Dunn | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2012-11-12 |
| 1720390321 | Luke J Eaton | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2010-07-12 |
| 1639281272 | Stacey A Mckenna | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-08-31 |
| 1609804608 | Caroline V. Horn | Anesthesiologist Assistant | 111 Colchester Ave., Uvm Medical Center, Dept. of Anesthesiology, Burlington, VT 05401 | 2006-06-29 |
| 1629005608 | Nathan Horn | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-06-27 |
| 1659314631 | Karen Clark | Anesthesiologist Assistant | 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401-1473 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
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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.