LONG TRAIL PODIATRY PLLC (NPI# 1902025638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902025638 |
| Entity Type | Organization |
| Organization Name | LONG TRAIL PODIATRY PLLC |
| Practice Address |
2456 Christian St Suite L2 White River Junction VT 05001-9856 |
| Practice Telephone | 8023594335 |
| Practice Fax Number | 8023594336 |
| Mailing Telephone | 8023594335 |
| Mailing Fax Number | 8023594336 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-06-10 |
| Authorized Official Name | JEFFREY R KING (CO-OWNER) |
| Authorized Official Telephone | 8023594335 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
L0018421 | VT | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | LONG TRAIL PODIATRY PLLC | 2456 Christian St Suite, White River Ju, VT 05001 |
| Street Address |
2456 CHRISTIAN ST SUITE L2 |
| City | WHITE RIVER JUNCTION |
| State | VT |
| Zip Code | 05001-9856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639262470 | Christine Anne Barney | Psychiatry & Neurology | 2456 Christian St, Suite 202, White River Junction, VT 05001-9856 | 2006-10-02 |
| 1558526970 | Upper Valley Natural Health Center | Naturopath | 2456 Christian St, Suite 102, White River Junction, VT 05001-9856 | 2008-07-24 |
| 1043481906 | Holly Ann Johnson | Counselor | 2456 Christian St, Suite 204, White River Junction, VT 05001 | 2008-03-19 |
| 1598881989 | Rebecca Chollet | Naturopath | 2456 Christian St, Suite 102, White River Junction, VT 05001-9856 | 2007-03-21 |
| 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 | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| City | WHITE RIVER JUNCTION |
| Zip Code | 05001 |
Please comment or provide details below to improve the information on LONG TRAIL PODIATRY PLLC.
| 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.