NORTHWESTERN MEDICAL CENTER, INC. (NPI# 1932575792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932575792 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDICAL CENTER, INC. |
| Other Organization Name | NORTHWESTERN DERMATOLOGY |
| Practice Address |
128 Fisher Pond Rd 2nd Floor Saint Albans VT 05478-6058 |
| Practice Telephone | 8025249707 |
| Practice Fax Number | 8027521361 |
| Mailing Telephone | 8025249707 |
| Mailing Fax Number | 8027521361 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-10-23 |
| 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 | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwestern Dermatology | 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 |
128 FISHER POND RD 2ND FLOOR |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-6058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740700913 | Karl Ethan Cunningham | Optometrist | 128 Fisher Pond Rd, Saint Albans, VT 05478-6058 | 2017-06-20 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063572907 | Julie Hsiao-wen Lin | Dermatology | 53 Fairfax Rd Ste 2, Saint Albans, VT 05478-4405 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508946732 | Dartmouth-hitchcock Clinic | Dermatology | 9 Belmont Ave, Brattleboro, VT 05301-6613 | 2006-10-16 |
| 1730273509 | Patricia L. Seal | Dermatology | 30 Farrell St Ste 200, South Burlington, VT 05403-6112 | 2006-10-03 |
| 1720193998 | Sidney Nathan Klaus | Dermatology | 312 Goodrich Four Corners Rd, Norwich, VT 05055 | 2006-08-20 |
| 1386678381 | Stephanie Dawn Neider | Dermatology | Northern Vermont Dermatology, 53 Fairfax Road Suite 2, St. Albans, VT 05478 | 2006-07-10 |
| 1861432841 | Rebecca M Jones | Dermatology | 138 Elliot St, Brattleboro, VT 05301-3027 | 2006-06-07 |
| 1801891049 | Janet Y Hinzman | Dermatology | 286 Hospital Loop, Ste 2, Berlin, VT 05602-8496 | 2005-06-15 |
| 1104204874 | Mindful Dermatology, Ltd | Dermatology | 205 Billings Farm Rd, Suite 2d, White River Junction, VT 05001-5400 | 2015-05-13 |
| 1427442615 | Julia Hobson Barker | Dermatology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-03-25 |
| 1790196525 | Ankit Gor | Dermatology | 111 Colchester Ave, Burlington, VT 05401 | 2014-05-14 |
| 1831518638 | Alyssa Fischer | Dermatology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-04-09 |
| 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.