TWIN RIVER UROLOGY (NPI# 1205941879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205941879 |
| Entity Type | Organization |
| Organization Name | TWIN RIVER UROLOGY |
| Practice Address |
108 No Main St Twin River Urology White River Jct VT 05001 |
| Practice Telephone | 8022967370 |
| Practice Fax Number | 8022967174 |
| Mailing Telephone | 8022967370 |
| Mailing Fax Number | 8022967174 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-17 |
| Authorized Official Name | MS. KATHY L DETZER (BUS MANAGER) |
| Authorized Official Telephone | 8022967370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 8746 | NH | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 0420008456 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | MEDICARE GROUP | 0000301 | 01 |
| VT | OVN0573 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | TWIN RIVER UROLOGY | W River Jct, VT |
| Vermont Business Registrations | TWIN RIVER UROLOGY CLINIC | W River Jct, VT |
| Street Address |
108 NO MAIN ST TWIN RIVER UROLOGY |
| City | WHITE RIVER JCT |
| State | VT |
| Zip Code | 05001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071674 | Angela Norton | Dietitian, Registered | White River Junction Va, 163 Veterans Drive, White River Junction, VT 05001 | 2020-01-02 |
| 1295221687 | Arielle Courtney Strickland | Behavioral Analyst | 91 Farmvu Dr, White River Junction, VT 05001 | 2018-07-09 |
| 1639544075 | Maureen D Bogosian | Counselor | 211 North Main St, White River, VT 05001 | 2015-12-10 |
| 1104254515 | Peter David Tenenbaum | Social Worker | 67 Raymond Circle, White River Junction, VT 05001 | 2013-10-22 |
| 1124311493 | Amber J Leavitt | Counselor | 226 Holiday Dr Ste 21, White River Junction, VT 05001 | 2011-05-19 |
| 1083820963 | Eileen Frances Lanza | Counselor | 3 Palmer Court, White River Junction, VT 05001 | 2007-05-15 |
| 1841337912 | Carol B. Collier | Counselor | 5 Palmer Court, White River Junction, VT 05001 | 2007-01-30 |
| 1174682041 | Mark G Koch | Marriage & Family Therapist | 1011 N. Main St. #21, White River Junction, VT 05001 | 2006-12-07 |
| 1518032564 | White River Family Practice PC | Family Medicine | 331 Olcott Drive, Suite U3, White River Jct, VT 05001 | 2006-11-22 |
| 1396818100 | Richard Sandford Zubarik | Internal Medicine | Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 | 2006-11-17 |
| Find all providers in zip 05001 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114293727 | Benjamin King | Urology | 111 Colchester Ave # Ep-5, Burlington, VT 05401-1473 | 2012-03-28 |
| 1437304250 | Louis John Dibella Jr. | Urology | 38 Park Street, Unit 14g, Florlam Park, VT 07932 | 2008-11-20 |
| 1760656078 | Jab Inc | Urology | 64 Colchester Avenue, Burlington, VT 05401-1417 | 2008-04-17 |
| 1619174612 | Brian Hilbert Irwin | Urology | 111 Colchester Ave. Acc/ Ep5, Fahc Urology, Burlington, VT 05401 | 2007-07-02 |
| 1356437925 | Craig Rinder | Urology | 375 Canal Street, Brattleboro, VT 05301-6616 | 2006-10-04 |
| 1205934247 | John A Bisson | Urology | 64 Colchester Ave, Burlington, VT 05401-1417 | 2006-09-21 |
| 1326069337 | Ahmet Cengiz Esenler | Urology | 6 Crest Rd, Urology, Saint Albans, VT 05478-9753 | 2006-07-22 |
| 1649245382 | Ernest M Bove | Urology | 145 Allen St, Rutland, VT 05701 | 2006-02-17 |
| 1427021286 | John Andrew Dreslin | Urology | 130 Fisher Rd, Mob-c,ste 1, Cvmc Urology, Berlin, VT 05602-9000 | 2006-02-10 |
| 1235100371 | John S.f. Daly | Urology | 191 Clark Ave, Suite 1, Brattleboro, VT 05301-3400 | 2006-01-27 |
| Find all providers with the same taxonomy | ||||
| City | WHITE RIVER JCT |
| Zip Code | 05001 |
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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.