SOUTHWESTERN VERMONT MEDICAL CENTER, INC. (NPI# 1083931778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083931778 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. |
| Other Organization Name | SVMC PLASTIC SURGERY |
| Practice Address |
140 Hospital Dr Suite 204 Bennington VT 05201-5009 |
| Mailing Address |
140 Hospital Dr Suite 100 Bennington VT 05201-5009 |
| Practice Telephone | 8024470607 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | MARK NOVOTNY (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8024475014 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SVMC Plastic Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990799 | Southwestern Vermont Medical Center, Inc. | Home Health | 1128 Monument Ave, Bennington, VT 05201-9215 | 2005-05-24 |
| 1124114251 | Southwestern Vermont Medical Center, Inc. | Home Health | 1128 Monument Ave, Bennington, VT 05201-9215 | 2006-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. | 100 Hospital Dr, Bennington, VT 05201-5004 |
| Vermont Business Registrations | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. | 100 Hospital Drive, Bennington, VT 05201 |
| New York State Corporations | SOUTHWESTERN VERMONT MEDICAL CENTER, INC. | Paul Frank + Collins P.C., P.o. Box 1307, Burlington, Vt 054021307 |
| Street Address |
140 HOSPITAL DR SUITE 204 |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266893 | Simon Paul Drew | Surgery | 140 Hospital Dr, Ste 203, Bennington, VT 05201-5015 | 2005-06-22 |
| 1437605201 | Robert Anthony Majors | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2016-08-31 |
| 1023562493 | Scott Lippacher | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2016-08-15 |
| 1285091850 | Karena Webber | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2016-01-27 |
| 1285010397 | Sheilah Scofield | Nurse Practitioner | 140 Hospital Dr, Suite 301, Bennington, VT 05201-5009 | 2015-07-31 |
| 1679951909 | Crystal Labbe-hasty | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2015-05-06 |
| 1740675065 | Kelsey Lange Pierce | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2015-04-02 |
| 1255734000 | Steve Rucker | Nurse Practitioner | 140 Hospital Dr, Suite 216, Bennington, VT 05201-5009 | 2014-10-07 |
| 1740682921 | Southwestern Vermont Medical Center, Inc | General Practice | 140 Hospital Dr, Bennington, VT 05201-5009 | 2014-09-19 |
| 1326485954 | Stefanie Ann Mcgowan | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2013-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346268018 | Susan E Maclennan | Surgery | 105 Westview Rd Ste 120, Colchester, VT 05446-8025 | 2006-07-18 |
| 1891775169 | Robert David Nesbit | Surgery | 354 Mountain View Dr, Fahc Plastic Surgery, Colchester, VT 05446 | 2006-01-20 |
| City | BENNINGTON |
| Zip Code | 05201 |
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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.