PDI HEALTH VT LLC (NPI# 1154944429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154944429 |
| Entity Type | Organization |
| Organization Name | PDI HEALTH VT LLC |
| Practice Address |
145 Pine Haven Shores Rd Shelburne VT 05482-7703 |
| Mailing Address |
12 Spencer St Brooklyn NY 11205-1891 |
| Practice Telephone | 8007599729 |
| Mailing Telephone | 8007499729 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | MENACHEM TAUBER (CEO) |
| Authorized Official Telephone | 8007499729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136347 | Pdi Health Vt LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 145 Pine Haven Shores Rd, Shelburne, VT 05482-7703 | 2020-05-21 |
| Street Address |
145 PINE HAVEN SHORES RD |
| City | SHELBURNE |
| State | VT |
| Zip Code | 05482-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699795617 | Jamie Anne Edwards-orr | Social Worker | 145 Pine Haven Shores Rd, Suite 2061, Shelburne, VT 05482-7703 | 2006-07-20 |
| 1073136347 | Pdi Health Vt LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 145 Pine Haven Shores Rd, Shelburne, VT 05482-7703 | 2020-05-21 |
| 1790226108 | Shelburne Medical Supplies | Durable Medical Equipment & Medical Supplies | 145 Pine Haven Shores Rd, Shelburne, VT 05482-7703 | 2017-03-17 |
| 1124473095 | Vicki Garrison | Counselor | 145 Pine Haven Shores Rd, Suite 2094, Shelburne, VT 05482-7703 | 2016-04-28 |
| 1467606897 | Georgina Lynn Achilles | Counselor | 145 Pine Haven Shores Rd, Suite 2091, Shelburne, VT 05482-7703 | 2008-11-12 |
| 1548382468 | Simon Frishkoff | Naturopath | 145 Pine Haven Shores Rd, Suite 2165, Shelburne, VT 05482-7703 | 2007-04-03 |
| 1952437543 | Philip J Davignon | Preventive Medicine | 145 Pine Haven Shores Rd, Shelburne, VT 05482-7703 | 2007-02-26 |
| 1790885846 | Paul Louis Candido | Psychologist | 145 Pine Haven Shores Rd, Suite 2032, Shelburne, VT 05482-7703 | 2006-09-25 |
| 1710099791 | Beth Anne Wermuth | Psychologist | 145 Pine Haven Shores Rd, Suite 2032, Shelburne, VT 05482-7703 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446422 | Lorraine Farrell | Physical Therapist | 267 Executive Drive, Shelburne, VT 05482 | 2014-04-03 |
| 1700212982 | Gregory P. Guilmartin | Technician/Technologist | 2989 Shelburne Road, Shelburne, VT 05482 | 2013-09-19 |
| 1104183524 | Kph Healthcare Services, Inc. | Pharmacy | 47 Executive Drive, Shelburne, VT 05482 | 2012-04-23 |
| 1720227622 | Margaret Foster | Social Worker | 5138 Shelburne Road, Shelburne, VT 05482 | 2009-02-17 |
| 1841458544 | Jeffrey Blaine Waite | Pharmacist | 86 Bay Road, Shelburne, VT 05482 | 2008-05-29 |
| 1730234964 | Barbara Van Drimmelen PC | Psychologist | 1 Marsett Rd., Shelburne, VT 05482 | 2007-01-25 |
| 1619035771 | Sara Jane Packard | Internal Medicine | 4070 Shelburne Rd, Shelburne, VT 05482 | 2006-12-04 |
| 1093889578 | Marian Bernice Feldman | Counselor | 5224 Shelburne Rd Suite S, Shelburne, VT 05482 | 2006-11-17 |
| 1265518088 | Mary C. Spicer | Chiropractor | 5247 Shelburne Rd., Suite 204, Shelburne, VT 05482 | 2006-10-27 |
| 1386687325 | Carl J Gutierrez | Anesthesiology | 4180 Harbor Rd, Shelburne, VT 05482 | 2006-06-14 |
| Find all providers in zip 05482 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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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.