NORTHWESTERN MEDICAL CENTER, INC. (NPI# 1376140889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376140889 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDICAL CENTER, INC. |
| Other Organization Name | NORTHWESTERN PEDIATRICS |
| Practice Address |
133 Fairfield St Ste 103a Saint Albans VT 05478-1726 |
| Mailing Address |
133 Fairfield St Saint Albans VT 05478-1726 |
| Practice Telephone | 8025278189 |
| Practice Fax Number | 8025278187 |
| Mailing Telephone | 8025278189 |
| Mailing Fax Number | 8025278187 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | MARY E PIGEON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8025248954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwestern Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437634359 | Northwestern Medical Center, Inc. | Pediatrics | 71 S Main St, Saint Albans, VT 05478-2274 | 2018-09-26 |
| 1760748693 | Northwestern Medical Center, Inc. | Ophthalmology | 128 Fisher Pond Rd, 2nd Floor, Suite 3, Saint Albans, VT 05478-6058 | 2012-04-04 |
| 1003118563 | Northwestern Medical Center, Inc. | Surgery | 1 Crest Rd, Suite B, Saint Albans, VT 05478-9753 | 2010-12-03 |
| 1417274663 | Northwestern Medical Center, Inc. | Family Medicine | 133 Fairfield St Ste 103, Saint Albans, VT 05478-1726 | 2010-04-28 |
| 1669677043 | Northwestern Medical Center, Inc. | Orthopaedic Surgery | 133 Fairfield St Ste 101, Saint Albans, VT 05478-1726 | 2007-06-18 |
| 1578650099 | Northwestern Medical Center, Inc. | Clinic/Center | 133 Fairfield St Ste 102, Saint Albans, VT 05478-1726 | 2006-10-06 |
| 1114530409 | Northwestern Medical Center, Inc. | Family Medicine | 12 Crest Rd, Saint Albans, VT 05478-9701 | 2020-08-26 |
| 1922658921 | Northwestern Medical Center, Inc. | Internal Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-09-12 |
| 1255809836 | Northwestern Medical Center, Inc. | Dietitian, Registered | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-11-13 |
| 1174004261 | Northwestern Medical Center, Inc. | Psychiatry & Neurology | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | NORTHWESTERN MEDICAL CENTER, INC. | 133 Fairfield St, St. Albans, VT 05478 |
| Street Address |
133 FAIRFIELD ST STE 103A |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
| 1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
| 1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
| 1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
| 1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
| 1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
| Find all providers in zip 05478 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437634359 | Northwestern Medical Center, Inc. | Pediatrics | 71 S Main St, Saint Albans, VT 05478-2274 | 2018-09-26 |
| 1083147375 | Blaire Smith | Pediatrics | 12 Kanawha Ter, Saint Albans, WV 25177-2750 | 2017-04-04 |
| 1588039176 | Northwestern Medical Center, Inc. | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2015-12-08 |
| 1982946661 | Jennifer Marie Covino | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2013-03-20 |
| 1104056514 | Stacy C Strouse | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2009-07-20 |
| 1013050723 | Franklin County Pediatrics | Pediatrics | 10 Crest Rd, Saint Albans, VT 05478-9701 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427589902 | Mohammad Mertaban | Pediatrics | 304 Sugar Tree Ln, South Burlington, VT 05403-6778 | 2017-03-25 |
| 1679827745 | Heide B. Horsley | Pediatrics | 746 Hollow View Road, Stowe, VT 05672 | 2012-10-29 |
| 1598023095 | Cristina A. Carter | Pediatrics | 53 Timber Lane, South Burlington, VT 05403 | 2012-05-03 |
| 1811216815 | Meghan Gunn | Pediatrics | 140 Hospital Dr Ste 210, Bennington, VT 05201-5015 | 2010-06-01 |
| 1588989016 | Kristen Van Woert Connolly | Pediatrics | 11 Haydenberry Dr Ste 41, Milton, VT 05468-3848 | 2010-03-27 |
| 1366764243 | Lisa Denise Burns | Pediatrics | 37 Brewer Pkwy, South Burlington, VT 05403-7326 | 2010-02-19 |
| 1023238557 | David Toll Md | Pediatrics | 1394 Main St, St Johnsbury, VT 05819-1829 | 2007-04-26 |
| 1528197266 | Joseph Nasca, Md | Pediatrics | 789b Ethan Allen Highway, Milton, VT 05468 | 2007-03-05 |
| 1760559108 | Jeanne Rodseth Kellner | Pediatrics | 10 Marsett Road, Suite 2, Shelburne, VT 05482-6640 | 2006-11-29 |
| 1386718500 | Mark Steven Harris | Pediatrics | 1123 South Rd, Bradford, VT 05033-8803 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ALBANS |
| Zip Code | 05478 |
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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.