SCOTT ALAN SMALL


Address: 130 Fisher Rd, Bld. A, Suite 2-2, Berlin, VT 05602
Phone: 8022292663

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).

Provider Overview

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

Taxonomy

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

Other Providers SCOTT SMALL

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

Office Location

Street Address 130 FISHER RD
BLD. A, SUITE 2-2
City BERLIN
State VT
Zip Code 05602

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

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City BERLIN
Zip Code 05602

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Dataset Information

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.

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