DR. JESSICA W. CROTHERS (NPI# 1336405760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336405760 |
| Entity Type | Individual |
| Full Name | DR. JESSICA W. CROTHERS |
| Credential | M.D. |
| Practice Address |
111 Colchester Ave. Uvm Medical Ctr., Dept. of Pathology & Laboratory Med. Burlington VT 05401 |
| Practice Telephone | 8028475121 |
| Practice Fax Number | 8028475905 |
| Mailing Telephone | 8028475121 |
| Mailing Fax Number | 8028475905 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
042.0013555 | VT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
111 COLCHESTER AVE. UVM MEDICAL CTR., DEPT. OF PATHOLOGY & LABORATORY MED. |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274903 | Gabrielle Helen Mikula | Nurse Practitioner | 111 Colchester Ave., Burlington, VT 05401 | 2005-06-02 |
| 1447799432 | Lisa Anne Rasmussen | Psychiatry & Neurology | 111 Colchester Ave., Uvm Medical Center/pedi-neurology, Burlington, VT 05401 | 2017-02-23 |
| 1205378197 | Amy Saunders | Social Worker | 111 Colchester Ave., Uvm Medical Center/dept. of Psychiatry-seneca Ctr., Burlington, VT 05401 | 2016-11-09 |
| 1548619901 | James J. Murphy IIi | Surgery | 111 Colchester Ave., Uvm Medical Center, Dept. of Surgery/pedi-surgery, Burlington, VT 05401 | 2016-06-07 |
| 1467810648 | Tenylle Allen Critchlow | Nurse Anesthetist, Certified Registered | 111 Colchester Ave., Uvm Medical Center, Dept. of Anesthesiology, Burlington, VT 05401 | 2016-02-03 |
| 1922471705 | Michael J. Millar | Nurse Anesthetist, Certified Registered | 111 Colchester Ave., Uvm Medical Center - Anesthesia, Burlington, VT 05401 | 2015-11-03 |
| 1730558396 | Sara J. Church | Anesthesiologist Assistant | 111 Colchester Ave., Uvm Medical Center - Dept. of Anesthesiology, Burlington, VT 05401 | 2015-09-24 |
| 1558738781 | Stephanie M. Bless | Nurse Practitioner | 111 Colchester Ave., Uvm Medical Center - Psychiatry, Burlington, VT 05401 | 2015-08-24 |
| 1124406178 | Nathaniel P. Moore | Physician Assistant | 111 Colchester Ave., Uvm Medical Center - Surgery/emergency Dept., Burlington, VT 05401-1473 | 2015-05-11 |
| 1689060238 | Rebecca A. Marin | Registered Nurse | 111 Colchester Ave., Uvm Medical Center - Neurology, Burlington, VT 05401 | 2015-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386839975 | Myla P Lai-goldman | Pathology | 128 Maple Ave, Laboratory Corporation of America, Burlington, NC 27215-5847 | 2007-09-07 |
| 1750416772 | George Ernest Rinker | Pathology | Huffman Mill Road, Alamance Regional Medical Center, Burlington, NC 27216 | 2007-02-22 |
| 1316094436 | William Franklin Hancock Jr. | Pathology | 1303 W Davis St, Burlington, NC 27215-2149 | 2007-01-03 |
| 1659306066 | Thomas D Brucker | Pathology | 252 Mchenry Street, Burlington, WI 53105-1828 | 2006-07-12 |
| 1457715443 | Adina Alexandra Bodolan | Pathology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2016-04-06 |
| 1447645189 | Karissa Leigh Heck | Pathology | 1447 York Ct, Burlington, NC 27215-3361 | 2015-03-31 |
| 1588077572 | John C Dewitt | Pathology | 111 Colchester Ave, Burlington, VT 05401 | 2014-06-06 |
| 1093076325 | Maryam J Zenali | Pathology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2012-06-04 |
| 1740556240 | Jamen Rick Bartlett | Pathology | 111 Colchester Ave, Uvm Medical Center, Pathology, Burlington, VT 05401-1473 | 2012-03-29 |
| 1346531266 | James Gilbert Timpson Dekay | Pathology | 111 Colchester Ave, East Pavilion 1-178, Mailstop 233mp1, Burlington, VT 05401-1473 | 2011-04-26 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
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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.