SCOTT ALAN SMALL (NPI# 1174543888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174543888 |
Entity Type | Individual |
Full Name | SCOTT ALAN SMALL |
Credential | PA-C |
Practice Address |
130 Fisher Rd Bld. A, Suite 2-2 Berlin VT 05602 |
Practice Telephone | 8022292663 |
Practice Fax Number | 8022296645 |
Mailing Telephone | 8022292663 |
Mailing Fax Number | 8022296645 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2010-02-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 055-0030654 | VT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
055-0030654 | VT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790784080 | Scott Jeffrey Small | Internal Medicine | 5670 Peachtree Dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342 | 2005-07-19 |
1700047669 | Scott Small | Anesthesiology | 35 Creek Rd, Irvine, CA 92604-4724 | 2008-06-23 |
1770647257 | Scott Allen Small | Psychiatry & Neurology | 710 W 168th St, New York, NY 10032-3726 | 2006-12-20 |
Street Address |
130 FISHER RD BLD. A, SUITE 2-2 |
City | BERLIN |
State | VT |
Zip Code | 05602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528067063 | Michael S Cohn | Urology | 130 Fisher Rd, Mob-c, Ste 1, Berlin, VT 05602-9516 | 2005-07-18 |
1194384974 | David Alexander Segel | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-06-06 |
1497210959 | Brenda Neff | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-02-08 |
1861969412 | Michael Ed Shaw | Physician Assistant | 130 Fisher Rd, Berlin, VT 05602-9516 | 2018-10-31 |
1750819371 | Jamie D Bariteau | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2017-05-25 |
1104378066 | Amy Gendron | Dietitian, Registered | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2016-10-26 |
1457809238 | Bonnie Solley | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2016-09-21 |
1598150914 | Melissa Beaudry | Nurse Practitioner | 130 Fisher Rd, Mob-b Suite 3, Berlin, VT 05602 | 2015-04-02 |
1508256843 | Heidi Eames | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2015-01-26 |
1053725200 | Brett Erdreich | Internal Medicine | 130 Fisher Rd, Berlin, VT 05602 | 2014-06-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
1891963179 | Nicole Ernst | Physician Assistant | 555 Washington Highway, Mansfield Orthopedics @ Copley, Morrisville, VT 05661-8972 | 2008-02-20 |
1861457806 | Kathleen Thayer Maloney | Physician Assistant | Fahc, 111 Colchester Ave, Burlington, VT 05401-1063 | 2006-04-20 |
1538708789 | Sarah Allison Mccabe | Physician Assistant | 1315 Hospital Dr, Saint Johnsbury, VT 05819-9210 | 2020-01-04 |
1255849840 | Lisa Ann Eberwein | Physician Assistant | 6 Commons St, Rutland, VT 05701-4651 | 2018-01-17 |
1760922454 | Kyle C Craven | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-03-01 |
1669911483 | Jennifer A. O'connor | Physician Assistant | 192 Tilley Dr., Uvm Medical Center - Ortho/spine, S. Burlington, VT 05403 | 2017-02-13 |
1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
1972935385 | Timothy Michael Balise | Physician Assistant | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2013-08-07 |
1396089751 | Michael P. Higgins | Physician Assistant | 111 Colchester Ave, Uvm Medical Center - Surgery/ct & Trauma, Burlington, VT 05401-1473 | 2012-11-23 |
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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.