NORTHWESTERN MEDICAL CENTER, INC. (NPI# 1821581174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821581174 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDICAL CENTER, INC. |
| Other Organization Name | NORTHWESTERN EAR, NOSE & THROAT |
| Practice Address |
10 Crest Rd Saint Albans VT 05478-9701 |
| Mailing Address |
133 Fairfield St Saint Albans VT 05478-1726 |
| Practice Telephone | 8025241000 |
| Practice Fax Number | 8025241008 |
| Mailing Telephone | 8025248954 |
| Mailing Fax Number | 8025241250 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | MARY E PIGEON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8025248954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwestern Ear, Nose & Throat | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140889 | Northwestern Medical Center, Inc. | Pediatrics | 133 Fairfield St Ste 103a, Saint Albans, VT 05478-1726 | 2020-10-07 |
| 1437634359 | Northwestern Medical Center, Inc. | Pediatrics | 71 S Main St, Saint Albans, VT 05478-2274 | 2018-09-26 |
| 1760748693 | Northwestern Medical Center, Inc. | Ophthalmology | 128 Fisher Pond Rd, 2nd Floor, Suite 3, Saint Albans, VT 05478-6058 | 2012-04-04 |
| 1003118563 | Northwestern Medical Center, Inc. | Surgery | 1 Crest Rd, Suite B, Saint Albans, VT 05478-9753 | 2010-12-03 |
| 1417274663 | Northwestern Medical Center, Inc. | Family Medicine | 133 Fairfield St Ste 103, Saint Albans, VT 05478-1726 | 2010-04-28 |
| 1669677043 | Northwestern Medical Center, Inc. | Orthopaedic Surgery | 133 Fairfield St Ste 101, Saint Albans, VT 05478-1726 | 2007-06-18 |
| 1578650099 | Northwestern Medical Center, Inc. | Clinic/Center | 133 Fairfield St Ste 102, Saint Albans, VT 05478-1726 | 2006-10-06 |
| 1114530409 | Northwestern Medical Center, Inc. | Family Medicine | 12 Crest Rd, Saint Albans, VT 05478-9701 | 2020-08-26 |
| 1922658921 | Northwestern Medical Center, Inc. | Internal Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-09-12 |
| 1255809836 | Northwestern Medical Center, Inc. | Dietitian, Registered | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | NORTHWESTERN MEDICAL CENTER, INC. | 133 Fairfield St, St. Albans, VT 05478 |
| Street Address |
10 CREST RD |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009310 | Ashlea Dosanjh | Audiologist | 10 Crest Rd, Saint Albans, VT 05478-9701 | 2020-06-30 |
| 1720321599 | Kahren K. Aydinyan | Otolaryngology | 10 Crest Rd, Saint Albans, VT 05478 | 2013-03-30 |
| 1871627794 | Mara Vijups, Md PC | Family Medicine | 10 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-15 |
| 1013050723 | Franklin County Pediatrics | Pediatrics | 10 Crest Rd, Saint Albans, VT 05478-9701 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
| 1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
| 1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
| 1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
| 1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
| 1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
| Find all providers in zip 05478 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861447153 | Dwayne Eric Rollins | Otolaryngology | 18718 Linden Blvd, Saint Albans, NY 11412-4026 | 2006-05-24 |
| 1033234828 | Dwayne E. Rollins, Md, PC | Otolaryngology | 18718 Linden Blvd, Saint Albans, NY 11412-4026 | 2007-03-20 |
| 1972646602 | Green Mountain Ent | Otolaryngology | 260 Crest Rd, Saint Albans, VT 05478-9503 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174935381 | Erin Tracy Ostby | Otolaryngology | 111 Colchester Ave Fl 4, Burlington, VT 05401-1473 | 2014-05-21 |
| 1154552651 | Patrick Hervey Stine | Otolaryngology | 2195 S Bingham St, Whiting, VT 05778-9508 | 2009-07-31 |
| 1770662462 | Paul M Julien | Otolaryngology | 637 Union Street, Newport, VT 05855 | 2006-11-03 |
| 1265532444 | Robert Joseph Jauch | Otolaryngology | 714 Breezy Hill Road, Suite A, St Johnsbury, VT 05819 | 2006-09-25 |
| 1750301651 | Louise Davies | Otolaryngology | Va Outcomes Group - 111b, 215 North Main Street, White River Junction, VT 05009 | 2006-07-20 |
| 1124048459 | Porter Hospital Inc | Otolaryngology | 1330 Exchange Street Suite 202, Porter Ent, Middlebury, VT 05753 | 2006-07-20 |
| 1942259379 | Donald A Leopold | Otolaryngology | 111 Colchoster Ave - Ent Wp4, Burlington, VT 05401 | 2006-05-10 |
| 1316910714 | Springfield Hospital | Otolaryngology | 364 River St, Springfield, VT 05156 | 2006-02-08 |
| 1740287283 | Richard C Lyons | Otolaryngology | 389 E Allen St, Winooski, VT 05404-1560 | 2005-06-30 |
| 1124538855 | George Kurien | Otolaryngology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-10-09 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ALBANS |
| Zip Code | 05478 |
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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.