GREEN MOUNTAIN ENT (NPI# 1972646602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972646602 |
| Entity Type | Organization |
| Organization Name | GREEN MOUNTAIN ENT |
| Practice Address |
260 Crest Rd Saint Albans VT 05478-9503 |
| Mailing Address |
Po Box 1352 Williston VT 05495-1352 |
| Practice Telephone | 8025271976 |
| Practice Fax Number | 8025270865 |
| Mailing Telephone | 8025247100 |
| Mailing Fax Number | 8025247021 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DARIN WRIGHT (PHYSICIAN OWNER) |
| Authorized Official Telephone | 8025271976 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1008985 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GREEN MOUNTAIN ENTERPRISE | Conversion Po Box 35170, Kingston, WA 98346 |
| Colorado Business Entities | Green Mountain Enterprises | 2530 East Cache La Poudre St, Colorado Springs, CO 80909 |
| Vermont Business Registrations | GREEN MOUNTAIN ENTERPRISES BADGES AND PATCHES | Pob 1020, W. Dover, VT 05356 |
| North Carolina Corporations | Green Mountain Enterprises Inc. | 105 Fox Ridge Road, Shelby, NC 28152 |
| Oregon Corporations, Companies and Business Names | GREEN MOUNTAIN ENTERPRISES LLC | 19001 Nw Green Mountain Road, Banks, OR 97106 |
| Colorado Business Entities | GREEN MOUNTAIN ENTERPRISES OF HOTCHKISS LLC | 30123 J Road, Hotchkiss, CO 81419 |
| Vermont Business Registrations | GREEN MOUNTAIN ENTERPRISES, INC. | 56 Centebar Rd, Irasburg, VT 05845 |
| New York State Corporations | GREEN MOUNTAIN ENTERPRISES, INC. | None Stated, Putney, Vt |
| Connecticut Business Registrations | GREEN MOUNTAIN ENTERPRISES, INC. | 60 Lawn Ave, Ste 24, Stamford, CT 06902 |
| Massachusetts Corporations | GREEN MOUNTAIN ENTERPRISES, INC. | 50 Fairway Ln., Fxborough, MA 02035-2739 |
| Street Address |
260 CREST RD |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336104934 | Kylee J Ladd | Physician Assistant | 260 Crest Rd, Suite 101, Saint Albans, VT 05478-9503 | 2006-04-18 |
| 1780219063 | Alissa Peterson | Family Medicine | 260 Crest Rd, Saint Albans, VT 05478-9503 | 2020-03-07 |
| 1023542693 | Lindsay Claire Arzberger | Nurse Practitioner | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2017-04-20 |
| 1821536871 | Lucas James Carter | Physician Assistant | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2017-02-09 |
| 1134665888 | Barbara Mentzer | Registered Nurse | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2017-01-18 |
| 1497119978 | Jack E Visco | Nurse Practitioner | 260 Crest Rd, Suite 101, Saint Albans, VT 05478-9503 | 2016-04-11 |
| 1811357668 | Northwestern Medical Center, Inc. | Dietitian, Registered | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2016-03-07 |
| 1427445766 | Kelli Ann Borgman | Dietitian, Registered | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2015-04-24 |
| 1356682678 | Stacey Bouchard | Nurse Practitioner | 260 Crest Rd, Saint Albans, VT 05478-9503 | 2013-03-12 |
| 1437404860 | Amy E Pandya | Nurse Practitioner | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2012-07-23 |
| Find all providers in the same location | ||||
| 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 |
| 1821581174 | Northwestern Medical Center, Inc. | Otolaryngology | 10 Crest Rd, Saint Albans, VT 05478-9701 | 2018-06-12 |
| 1033234828 | Dwayne E. Rollins, Md, PC | Otolaryngology | 18718 Linden Blvd, Saint Albans, NY 11412-4026 | 2007-03-20 |
| 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.