| Central Vermont Medical Center Inc | |
|
130 Fisher Rd Berlin VT 05602-9516 | |
| (802) 371-4392 | |
| (802) 371-4488 |
| Full Name | Central Vermont Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Fisher Rd, Berlin, Vermont |
| Authorized Official Name and Position | Cheyenne Holland (CFO) |
| Authorized Official Contact | 8023714109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Vermont Medical Center Inc Po Box 547 Cvmc Finance Dept Barre VT 05641-0547 Ph: (802) 371-4392 | Central Vermont Medical Center Inc 130 Fisher Rd Berlin VT 05602-9516 Ph: (802) 371-4392 |
| NPI Number | 1831374362 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 10/02/2017 |
| Medicare PECOS PAC ID | 9335138817 |
|---|---|
| Medicare Enrollment ID | O20040510001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831374362 | NPI | - | NPPES |
| 1014911 | Medicaid | VT |
| Provider Name | John Gridley King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811910540 PECOS PAC ID: 5092607697 Enrollment ID: I20040329000162 |
| Provider Name | Kairn S Kelley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821100470 PECOS PAC ID: 5597759456 Enrollment ID: I20040413000956 |
| Provider Name | Kristopher L Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144239054 PECOS PAC ID: 5193715126 Enrollment ID: I20040513000245 |
| Provider Name | Priscilla W Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508887357 PECOS PAC ID: 8224019443 Enrollment ID: I20040525000971 |
| Provider Name | Andrew D Felsted |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144252503 PECOS PAC ID: 7911967955 Enrollment ID: I20041014000535 |
| Provider Name | John G Koutras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528154697 PECOS PAC ID: 2062496110 Enrollment ID: I20041105000733 |
| Provider Name | David A Kaminsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134132913 PECOS PAC ID: 9931164613 Enrollment ID: I20041122000824 |
| Provider Name | Peter C Vanburen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104912310 PECOS PAC ID: 8820054612 Enrollment ID: I20041203000191 |
| Provider Name | Janusz W Porowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871519942 PECOS PAC ID: 1951359207 Enrollment ID: I20050104000542 |
| Provider Name | Laurie Spaulding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225062425 PECOS PAC ID: 7719936111 Enrollment ID: I20050112000742 |
| Provider Name | David J Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285737429 PECOS PAC ID: 7810947637 Enrollment ID: I20050128000364 |
| Provider Name | Ael Evan Eyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487668109 PECOS PAC ID: 9234191719 Enrollment ID: I20050310000262 |
| Provider Name | William Cove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396766150 PECOS PAC ID: 2466496385 Enrollment ID: I20050613000331 |
| Provider Name | Amy A Buzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619915568 PECOS PAC ID: 5890720957 Enrollment ID: I20050928000587 |
| Provider Name | Rose S Ehret |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962429837 PECOS PAC ID: 7517992589 Enrollment ID: I20050928000703 |
| Provider Name | David Mooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609841881 PECOS PAC ID: 0749208478 Enrollment ID: I20051110000499 |
| Provider Name | Roger Knowlton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588685218 PECOS PAC ID: 7012938061 Enrollment ID: I20051219000128 |
| Provider Name | Elizabeth A Grupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487855433 PECOS PAC ID: 5193730570 Enrollment ID: I20060207000797 |
| Provider Name | Robert W Duncan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851443428 PECOS PAC ID: 4981611159 Enrollment ID: I20060313000509 |
| Provider Name | Robert D Monsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568563450 PECOS PAC ID: 5698782373 Enrollment ID: I20060321000724 |
| Provider Name | William E Hopkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770685638 PECOS PAC ID: 3779591169 Enrollment ID: I20060327000552 |
| Provider Name | Nancy W Chickering |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366467854 PECOS PAC ID: 4587672753 Enrollment ID: I20060329000626 |
| Provider Name | Jonna C Goulding |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962415042 PECOS PAC ID: 4385653583 Enrollment ID: I20060417000663 |
| Provider Name | Benjamin G Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346283561 PECOS PAC ID: 9335152990 Enrollment ID: I20060726000339 |
| Provider Name | Robert R Althoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275514713 PECOS PAC ID: 5799789020 Enrollment ID: I20060829000335 |
| Provider Name | Richard Gerald Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023048485 PECOS PAC ID: 2062416191 Enrollment ID: I20070612000344 |
| Provider Name | Yolanda N Mageto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497816862 PECOS PAC ID: 9436118924 Enrollment ID: I20070718000509 |
| Provider Name | Emily Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003013608 PECOS PAC ID: 9234029448 Enrollment ID: I20070802000126 |
| Provider Name | Renee D Stapleton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689754657 PECOS PAC ID: 1557398153 Enrollment ID: I20071103000147 |
| Provider Name | Daniel Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437179074 PECOS PAC ID: 5799858403 Enrollment ID: I20080714000362 |
| Provider Name | R Scott Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407972524 PECOS PAC ID: 3274608823 Enrollment ID: I20080818000336 |
| Provider Name | Gilman B Allen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538274485 PECOS PAC ID: 5193890127 Enrollment ID: I20080826000351 |
| Provider Name | Paul Crainich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285796045 PECOS PAC ID: 3173681418 Enrollment ID: I20081015000393 |
| Provider Name | Susan Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396993952 PECOS PAC ID: 2365500824 Enrollment ID: I20081028000227 |
| Provider Name | Laurie Whittaker Leclair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871505214 PECOS PAC ID: 4183783327 Enrollment ID: I20081104000016 |
| Provider Name | Benjamin T Suratt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922114164 PECOS PAC ID: 8426008004 Enrollment ID: I20081104000035 |
| Provider Name | Daniel J Weiss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396858023 PECOS PAC ID: 8325107576 Enrollment ID: I20081104000070 |
| Provider Name | William J Brundage |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255366449 PECOS PAC ID: 6305905431 Enrollment ID: I20081104000799 |
| Provider Name | James G Rose |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497778112 PECOS PAC ID: 8921168410 Enrollment ID: I20081113000263 |
| Provider Name | Anne E Dixon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164431847 PECOS PAC ID: 7719047216 Enrollment ID: I20081113000293 |
| Provider Name | Peter Weller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568488187 PECOS PAC ID: 8123055050 Enrollment ID: I20081120000305 |
| Provider Name | Harris Kiva Strokoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497866701 PECOS PAC ID: 0840354619 Enrollment ID: I20090123000306 |
| Provider Name | Richard A Burgoyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093745580 PECOS PAC ID: 9436296464 Enrollment ID: I20091024000019 |
| Provider Name | Peter A Redford |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205891686 PECOS PAC ID: 6800890799 Enrollment ID: I20100225000194 |
| Provider Name | Jesse Ritvo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558480707 PECOS PAC ID: 8325179252 Enrollment ID: I20100622000039 |
| Provider Name | Donald N Weinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871534529 PECOS PAC ID: 2466584313 Enrollment ID: I20100713000490 |
| Provider Name | Joshua T White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588623664 PECOS PAC ID: 5597741843 Enrollment ID: I20100721000288 |
| Provider Name | Matthew J Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477765964 PECOS PAC ID: 1658391412 Enrollment ID: I20100916000012 |
| Provider Name | Justin Karlitz-grodin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275651549 PECOS PAC ID: 8325163256 Enrollment ID: I20100916000165 |
| Provider Name | Andrew Lee-wah Koo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730281668 PECOS PAC ID: 5496870941 Enrollment ID: I20100921000529 |
| Provider Name | Sarah A Blair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043336795 PECOS PAC ID: 5496871329 Enrollment ID: I20100928000932 |
| Provider Name | Jessica L Macleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336469337 PECOS PAC ID: 0244423804 Enrollment ID: I20101015000476 |
| Provider Name | Duane M Natvig |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245256395 PECOS PAC ID: 3870787823 Enrollment ID: I20101103000782 |
| Provider Name | Ryosuke Kawatsuji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134215940 PECOS PAC ID: 1951596436 Enrollment ID: I20101110000226 |
| Provider Name | Joshua A A Plavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073526851 PECOS PAC ID: 3779779889 Enrollment ID: I20101130001370 |
| Provider Name | Deirdre Donaldson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164482923 PECOS PAC ID: 9638368228 Enrollment ID: I20110113000220 |
| Provider Name | Charlotte Teneback |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427110782 PECOS PAC ID: 4082893508 Enrollment ID: I20110128000671 |
| Provider Name | Austin D Sumner |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1609923259 PECOS PAC ID: 7113017310 Enrollment ID: I20110202000666 |
| Provider Name | Lisa A Lambert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215915368 PECOS PAC ID: 9234180142 Enrollment ID: I20110215000285 |
| Provider Name | Delores Burroughs Biron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770565863 PECOS PAC ID: 2769669159 Enrollment ID: I20110613000382 |
| Provider Name | Eduards G Ziedins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174545123 PECOS PAC ID: 4587841978 Enrollment ID: I20110613000385 |
| Provider Name | Varun Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851506133 PECOS PAC ID: 5799852687 Enrollment ID: I20110620000045 |
| Provider Name | Terry Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104098854 PECOS PAC ID: 6608045562 Enrollment ID: I20110810000087 |
| Provider Name | Garth W Garrison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427175330 PECOS PAC ID: 1153518063 Enrollment ID: I20110907001020 |
| Provider Name | Sarah Louise Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447538145 PECOS PAC ID: 4880864479 Enrollment ID: I20110909002763 |
| Provider Name | William T Horn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912140286 PECOS PAC ID: 6305018235 Enrollment ID: I20111018000722 |
| Provider Name | Maryellen C Antkowiak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588836043 PECOS PAC ID: 3971776709 Enrollment ID: I20111024000177 |
| Provider Name | Kelvey Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487828547 PECOS PAC ID: 6608049325 Enrollment ID: I20111025000559 |
| Provider Name | Ryan D Clouser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780650382 PECOS PAC ID: 8325072150 Enrollment ID: I20111212000442 |
| Provider Name | Sarah E Swift |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134151434 PECOS PAC ID: 0547392532 Enrollment ID: I20120120000782 |
| Provider Name | Eric Sargent |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023011517 PECOS PAC ID: 5496714636 Enrollment ID: I20120201000277 |
| Provider Name | Javad Scott Mashkuri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518168814 PECOS PAC ID: 7911164025 Enrollment ID: I20120201000372 |
| Provider Name | Jordice Corey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982984316 PECOS PAC ID: 3375715618 Enrollment ID: I20120229000121 |
| Provider Name | Robin E Frantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518239102 PECOS PAC ID: 5395907174 Enrollment ID: I20120425000134 |
| Provider Name | Haitham M Nsour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306833959 PECOS PAC ID: 6002861622 Enrollment ID: I20120503000676 |
| Provider Name | Emily R. Levan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336411305 PECOS PAC ID: 8224294202 Enrollment ID: I20120718000834 |
| Provider Name | Jessica E O'neil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124261987 PECOS PAC ID: 8224284039 Enrollment ID: I20120810000190 |
| Provider Name | Joshua Farkas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326196361 PECOS PAC ID: 8426207457 Enrollment ID: I20121005000348 |
| Provider Name | Aaron M Brillhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013102466 PECOS PAC ID: 6204907553 Enrollment ID: I20121018000615 |
| Provider Name | Tara Blue Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417277500 PECOS PAC ID: 5193859056 Enrollment ID: I20121211000450 |
| Provider Name | Paul R Dunn |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396089553 PECOS PAC ID: 1153575279 Enrollment ID: I20130125000103 |
| Provider Name | Peter A Holoch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962611962 PECOS PAC ID: 9032375761 Enrollment ID: I20130321000562 |
| Provider Name | David H Murman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073704763 PECOS PAC ID: 1850579335 Enrollment ID: I20130508000346 |
| Provider Name | Deborah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424845 PECOS PAC ID: 8325287428 Enrollment ID: I20130621000200 |
| Provider Name | Colin M Mccreight |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174659858 PECOS PAC ID: 5294881769 Enrollment ID: I20130628000038 |
| Provider Name | Gregory Holmes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174581516 PECOS PAC ID: 4486697596 Enrollment ID: I20130726000017 |
| Provider Name | Jared A Blum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821226002 PECOS PAC ID: 1951542018 Enrollment ID: I20130801000333 |
| Provider Name | Justin Stinnett Donnelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649594656 PECOS PAC ID: 5092956086 Enrollment ID: I20130802000801 |
| Provider Name | Anna M Westervelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447544127 PECOS PAC ID: 6800074386 Enrollment ID: I20130806000012 |
| Provider Name | Jennifer S Borofsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558685354 PECOS PAC ID: 0547402232 Enrollment ID: I20130808000522 |
| Provider Name | Alison L Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881894558 PECOS PAC ID: 3577731801 Enrollment ID: I20130823000818 |
| Provider Name | Charles M Kinsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871540336 PECOS PAC ID: 2567560279 Enrollment ID: I20130919000355 |
| Provider Name | Hannah Swayze-quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184838799 PECOS PAC ID: 0749424398 Enrollment ID: I20130920000367 |
| Provider Name | Beth E Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871720482 PECOS PAC ID: 1850541038 Enrollment ID: I20131107000784 |
| Provider Name | Elizabeth G Suiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851429690 PECOS PAC ID: 9032348594 Enrollment ID: I20140203000014 |
| Provider Name | Rachel E Gaidys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992918957 PECOS PAC ID: 4688773575 Enrollment ID: I20140203000039 |
| Provider Name | Justin R Knapp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336242528 PECOS PAC ID: 9032283601 Enrollment ID: I20140701002324 |
| Provider Name | Benjamin P Parkhurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588963086 PECOS PAC ID: 8527285220 Enrollment ID: I20140804000457 |
| Provider Name | David A Rand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851686745 PECOS PAC ID: 0749407245 Enrollment ID: I20140806002077 |
| Provider Name | Brian L Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841587839 PECOS PAC ID: 9234399676 Enrollment ID: I20140814000377 |
| Provider Name | Jay B Ginns |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1285040352 PECOS PAC ID: 7012135916 Enrollment ID: I20140905000393 |
| Provider Name | Sarah Guth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336438712 PECOS PAC ID: 1557589496 Enrollment ID: I20140905001622 |
| Provider Name | Amy E Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770989253 PECOS PAC ID: 8325364409 Enrollment ID: I20150309000775 |
| Provider Name | Katharine Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811177918 PECOS PAC ID: 9234263435 Enrollment ID: I20150319000514 |
| Provider Name | Casey Kolb Nava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649561929 PECOS PAC ID: 2365761780 Enrollment ID: I20150507000638 |
| Provider Name | Charmaine K Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093912438 PECOS PAC ID: 7618297631 Enrollment ID: I20150514002017 |
| Provider Name | Michael Boggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891038824 PECOS PAC ID: 2062725658 Enrollment ID: I20150727000551 |
| Provider Name | Melissa A. Beaudry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598150914 PECOS PAC ID: 4082928874 Enrollment ID: I20150807013510 |
| Provider Name | Loretta B Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912341306 PECOS PAC ID: 0446474811 Enrollment ID: I20150930002171 |
| Provider Name | Kara J Sexton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194017012 PECOS PAC ID: 3274777065 Enrollment ID: I20151202001051 |
| Provider Name | Kathryn A Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20160209000502 |
| Provider Name | Mark C Bisanzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740249226 PECOS PAC ID: 8729082334 Enrollment ID: I20160227000169 |
| Provider Name | Jacqueline C Otoole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902148471 PECOS PAC ID: 5991008211 Enrollment ID: I20160615002491 |
| Provider Name | Sarah Sliva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245484724 PECOS PAC ID: 8729271945 Enrollment ID: I20160617000196 |
| Provider Name | Tara Scribner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629311782 PECOS PAC ID: 0244532190 Enrollment ID: I20160621001111 |
| Provider Name | Devendra S Thakur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508023003 PECOS PAC ID: 0840433769 Enrollment ID: I20160810002527 |
| Provider Name | Samuel Stoyak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588906994 PECOS PAC ID: 9436451010 Enrollment ID: I20160811000250 |
| Provider Name | Jonathan N Flyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750525192 PECOS PAC ID: 3072776350 Enrollment ID: I20160822002599 |
| Provider Name | Debralee B Frederick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093034944 PECOS PAC ID: 9335360957 Enrollment ID: I20160923000363 |
| Provider Name | Maya Strange |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740253178 PECOS PAC ID: 5991701138 Enrollment ID: I20161011000823 |
| Provider Name | Bahar Sadjadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548609506 PECOS PAC ID: 9335433903 Enrollment ID: I20161209000165 |
| Provider Name | Ellen Stein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457694218 PECOS PAC ID: 3971739095 Enrollment ID: I20161230000797 |
| Provider Name | Brady J Heward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487943114 PECOS PAC ID: 2365769866 Enrollment ID: I20170220001940 |
| Provider Name | Rochak Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922395987 PECOS PAC ID: 4183859986 Enrollment ID: I20170413000168 |
| Provider Name | Shaun D Demers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083681167 PECOS PAC ID: 5496848756 Enrollment ID: I20170502000992 |
| Provider Name | Jose Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316981897 PECOS PAC ID: 9335105592 Enrollment ID: I20170503000274 |
| Provider Name | David Y Harari |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1649667593 PECOS PAC ID: 3971824483 Enrollment ID: I20170508001394 |
| Provider Name | Katherine Costello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619104916 PECOS PAC ID: 3577714179 Enrollment ID: I20170606002242 |
| Provider Name | John Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013193093 PECOS PAC ID: 4587848627 Enrollment ID: I20170620001446 |
| Provider Name | Clayton Wilburn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609130681 PECOS PAC ID: 4688942147 Enrollment ID: I20170626000571 |
| Provider Name | Tracy Hobbs-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326372145 PECOS PAC ID: 1850669318 Enrollment ID: I20170626000614 |
| Provider Name | Brendan T Everett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942628847 PECOS PAC ID: 2466755772 Enrollment ID: I20170705002058 |
| Provider Name | John Motley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417369851 PECOS PAC ID: 2062638794 Enrollment ID: I20170710001863 |
| Provider Name | Richard B Bounds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396834669 PECOS PAC ID: 5597764589 Enrollment ID: I20170817000116 |
| Provider Name | Joseph J Ravera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760794523 PECOS PAC ID: 8527213313 Enrollment ID: I20170821000344 |
| Provider Name | Karen Lewicki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427443324 PECOS PAC ID: 3173825932 Enrollment ID: I20170829000857 |
| Provider Name | Daniel A Barkhuff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306189915 PECOS PAC ID: 7315172277 Enrollment ID: I20170914000815 |
| Provider Name | Maria Christine Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437425626 PECOS PAC ID: 0547586604 Enrollment ID: I20171017000571 |
| Provider Name | Francis Louis Kirk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639461684 PECOS PAC ID: 2365691052 Enrollment ID: I20171103000341 |
| Provider Name | George Kurien |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124538855 PECOS PAC ID: 4486910163 Enrollment ID: I20171113003247 |
| Provider Name | Maria Cristina A De Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689602393 PECOS PAC ID: 8426365917 Enrollment ID: I20171120000213 |
| Provider Name | Margaret Spottswood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144529611 PECOS PAC ID: 3971806043 Enrollment ID: I20180111002574 |
| Provider Name | Misty M Blanchette Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467477380 PECOS PAC ID: 9133148646 Enrollment ID: I20180309000853 |
| Provider Name | William L Burch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760693691 PECOS PAC ID: 4284700543 Enrollment ID: I20180315000740 |
| Provider Name | Jamie D Bariteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750819371 PECOS PAC ID: 5991077117 Enrollment ID: I20180503000553 |
| Provider Name | Jennifer C Jachowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184861221 PECOS PAC ID: 7113166208 Enrollment ID: I20180613000399 |
| Provider Name | Andrea L Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689681306 PECOS PAC ID: 2961393103 Enrollment ID: I20180726002525 |
| Provider Name | Brett Erdreich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053725200 PECOS PAC ID: 0941502538 Enrollment ID: I20180802002823 |
| Provider Name | Molly L Rovin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114346863 PECOS PAC ID: 2163724485 Enrollment ID: I20180807001828 |
| Provider Name | Elsa M Ingpen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932693355 PECOS PAC ID: 9739437484 Enrollment ID: I20180813001298 |
| Provider Name | Michael A Hoffnung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417391251 PECOS PAC ID: 4981953395 Enrollment ID: I20180817002737 |
| Provider Name | Anubha Md Jati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093782575 PECOS PAC ID: 6002806098 Enrollment ID: I20180822002509 |
| Provider Name | Jason D Brazelton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407098957 PECOS PAC ID: 3274779087 Enrollment ID: I20180822003754 |
| Provider Name | Maya E Carlet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558645614 PECOS PAC ID: 8224387345 Enrollment ID: I20180823001100 |
| Provider Name | Conor S Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902219694 PECOS PAC ID: 0143524017 Enrollment ID: I20180828002887 |
| Provider Name | Maximilian Klein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104244888 PECOS PAC ID: 9335457266 Enrollment ID: I20180828003579 |
| Provider Name | Umer Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063806206 PECOS PAC ID: 0143523498 Enrollment ID: I20180905001578 |
| Provider Name | Erin C Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831552280 PECOS PAC ID: 9638464100 Enrollment ID: I20181003002893 |
| Provider Name | Alyssa Fischer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831518638 PECOS PAC ID: 9638471535 Enrollment ID: I20181008001623 |
| Provider Name | John P Begly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033470703 PECOS PAC ID: 4284986472 Enrollment ID: I20181017000767 |
| Provider Name | Vanessa C Hartstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730576851 PECOS PAC ID: 9335428960 Enrollment ID: I20181102001361 |
| Provider Name | Jeniffer Tobon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679768758 PECOS PAC ID: 1759475544 Enrollment ID: I20181214000620 |
| Provider Name | Jenniffer Lynn Funk-weyant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831433135 PECOS PAC ID: 5799938940 Enrollment ID: I20190111002710 |
| Provider Name | Amanda Porter Dauten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699154120 PECOS PAC ID: 2264748458 Enrollment ID: I20190115002336 |
| Provider Name | Lara Hammond |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235167149 PECOS PAC ID: 8426051319 Enrollment ID: I20190402001524 |
| Provider Name | Suman Majumdar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477998045 PECOS PAC ID: 9234476136 Enrollment ID: I20190716003323 |
| Provider Name | Alexis Whittaker Malcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376830281 PECOS PAC ID: 1557533361 Enrollment ID: I20190716003610 |
| Provider Name | Rachel K Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124414271 PECOS PAC ID: 9931499134 Enrollment ID: I20190724002245 |
| Provider Name | Nora Gashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871744474 PECOS PAC ID: 0547457806 Enrollment ID: I20190802002058 |
| Provider Name | Oluwayomi S Akande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326082199 PECOS PAC ID: 0143226951 Enrollment ID: I20190802002487 |
| Provider Name | Rachel A.n. Larocca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861842817 PECOS PAC ID: 5496082166 Enrollment ID: I20190805001073 |
| Provider Name | Emily G Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477916062 PECOS PAC ID: 9133412901 Enrollment ID: I20190806002255 |
| Provider Name | Julia H Barker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427442615 PECOS PAC ID: 5496058794 Enrollment ID: I20190807000856 |
| Provider Name | Ramasubramanian Baalachandran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386085033 PECOS PAC ID: 5294059390 Enrollment ID: I20190808000083 |
| Provider Name | Anne Brereton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952963274 PECOS PAC ID: 0042547127 Enrollment ID: I20190813000295 |
| Provider Name | Grace J Altebrando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609229707 PECOS PAC ID: 1052648052 Enrollment ID: I20190814001581 |
| Provider Name | Justin C Chuang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093179400 PECOS PAC ID: 1052606621 Enrollment ID: I20190814001726 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366995052 PECOS PAC ID: 0547597452 Enrollment ID: I20190814002820 |
| Provider Name | David Alexander Segel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194384974 PECOS PAC ID: 4880922087 Enrollment ID: I20190827000581 |
| Provider Name | Freyda Neyman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073604278 PECOS PAC ID: 3577744275 Enrollment ID: I20190830000603 |
| Provider Name | Shannon P Rivard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164774808 PECOS PAC ID: 8325290224 Enrollment ID: I20190904000300 |
| Provider Name | Sean Michael Nagle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992184618 PECOS PAC ID: 1557667359 Enrollment ID: I20190905003150 |
| Provider Name | Jolanta Teresa Amblo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962865980 PECOS PAC ID: 3870884240 Enrollment ID: I20190920000552 |
| Provider Name | Usha Abbineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942651344 PECOS PAC ID: 7113257593 Enrollment ID: I20190927000596 |
| Provider Name | Katherine N Amey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942855069 PECOS PAC ID: 3476884560 Enrollment ID: I20191003001220 |
| Provider Name | Andrew D Kehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538720537 PECOS PAC ID: 8325379597 Enrollment ID: I20191021000145 |
| Provider Name | Abbey Lynne Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265086037 PECOS PAC ID: 4587996772 Enrollment ID: I20191021001479 |
| Provider Name | Caitlin S Haxel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518258375 PECOS PAC ID: 3072845783 Enrollment ID: I20191030001756 |
| Provider Name | Minta Trivette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992354112 PECOS PAC ID: 2163854852 Enrollment ID: I20191119000785 |
| Provider Name | Evan W Piette |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326331653 PECOS PAC ID: 3971810862 Enrollment ID: I20191209000114 |
| Provider Name | Louis-bassett Porter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689105652 PECOS PAC ID: 5193096246 Enrollment ID: I20200319000487 |
| Provider Name | Sandra L Molteni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275972127 PECOS PAC ID: 8022242866 Enrollment ID: I20200505002780 |
| Provider Name | Morgan Lamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306476981 PECOS PAC ID: 2264863638 Enrollment ID: I20200519002286 |
| Provider Name | Jonathan Hastings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861855819 PECOS PAC ID: 3779833009 Enrollment ID: I20200520003341 |
| Provider Name | Shawn P Wayne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295266443 PECOS PAC ID: 7315218369 Enrollment ID: I20200706002442 |
| Provider Name | Edwin Goncharuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255872453 PECOS PAC ID: 7012289507 Enrollment ID: I20200716000429 |
| Provider Name | Tia Brodeur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730535162 PECOS PAC ID: 6507138112 Enrollment ID: I20200806002994 |
| Provider Name | David J Coggin-carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942753033 PECOS PAC ID: 0840563649 Enrollment ID: I20200812000985 |
| Provider Name | Gary J King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659720704 PECOS PAC ID: 9739472622 Enrollment ID: I20200814002336 |
| Provider Name | Peter J Ireland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386175644 PECOS PAC ID: 6901171750 Enrollment ID: I20200819001302 |
| Provider Name | Krista L Buckley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568824787 PECOS PAC ID: 2466747027 Enrollment ID: I20200819004180 |
| Provider Name | Samuel Potter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376074674 PECOS PAC ID: 5597094862 Enrollment ID: I20200901000856 |
| Provider Name | Nicole Habel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881081370 PECOS PAC ID: 2567779408 Enrollment ID: I20200929002872 |
| Provider Name | Chason Ziino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033538467 PECOS PAC ID: 4880928605 Enrollment ID: I20201009001890 |
| Provider Name | Nikhil Teja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063866903 PECOS PAC ID: 6800224734 Enrollment ID: I20201013002823 |
| Provider Name | Tyler Fanning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760987473 PECOS PAC ID: 2668736281 Enrollment ID: I20201015000220 |
| Provider Name | Justin E Katz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982131728 PECOS PAC ID: 9335413525 Enrollment ID: I20201021002629 |
| Provider Name | Karen B Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215550116 PECOS PAC ID: 1153731377 Enrollment ID: I20201029000865 |
| Provider Name | Corinna M Gilkey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316330863 PECOS PAC ID: 4486974250 Enrollment ID: I20201105000853 |
| Provider Name | Kirsten M Didrikson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568012961 PECOS PAC ID: 1456783307 Enrollment ID: I20201111000783 |
| Provider Name | Rachel N Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184242042 PECOS PAC ID: 9830500685 Enrollment ID: I20201130001216 |
| Provider Name | Calvin T Gilkey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093246878 PECOS PAC ID: 9931472735 Enrollment ID: I20201130001707 |
| Provider Name | Kayla D Corbett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770014664 PECOS PAC ID: 7315218286 Enrollment ID: I20201221002452 |
| Provider Name | Alexis Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134553001 PECOS PAC ID: 4183995004 Enrollment ID: I20210114002593 |
| Provider Name | Arturo Guajardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376564153 PECOS PAC ID: 4183600620 Enrollment ID: I20210121002135 |
| Provider Name | Kevin Feldman Lutsky |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578594784 PECOS PAC ID: 2466456314 Enrollment ID: I20210122000808 |
| Provider Name | Jita De |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225287246 PECOS PAC ID: 1951440155 Enrollment ID: I20210215000198 |
| Provider Name | Samuel A Evenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124559075 PECOS PAC ID: 6406127349 Enrollment ID: I20210617001257 |
| Provider Name | Lauren Suggs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043605579 PECOS PAC ID: 5799083259 Enrollment ID: I20210811002629 |
| Provider Name | Zachary Blaze Wunrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306306196 PECOS PAC ID: 0648503490 Enrollment ID: I20210816000687 |
| Provider Name | Brian Joseph Rosen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437610391 PECOS PAC ID: 1052647161 Enrollment ID: I20210816000718 |
| Provider Name | Daniel Sackett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952510372 PECOS PAC ID: 9133360886 Enrollment ID: I20210816002224 |
| Provider Name | Theresa B Flanagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609372887 PECOS PAC ID: 2668722851 Enrollment ID: I20210818000588 |
| Provider Name | Kenyon C Bolton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134623135 PECOS PAC ID: 4183878838 Enrollment ID: I20211008001617 |
| Provider Name | Jacqueline Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588168884 PECOS PAC ID: 5092060665 Enrollment ID: I20211013001005 |
| Provider Name | Beth A Helgerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083686810 PECOS PAC ID: 8921051582 Enrollment ID: I20211111000960 |
Arthur J Esswein Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Hospital Loop, Suite 7, Berlin, VT 05602 Phone: 802-229-9144 Fax: 802-223-1697 | |
Sas Gastroenterology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 195 Hospital Loop Ste 7, Berlin, VT 05602 Phone: 802-229-9144 | |
Arkos Vermont, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Industrial Ln, Berlin, VT 05602 Phone: 480-494-2465 Fax: 480-534-4087 |