NORTHWESTERN MEDICAL CENTER, INC. (NPI# 1386984128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386984128 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDICAL CENTER, INC. |
| Other Organization Name | NORTHWESTERN PULMONOLOGY |
| Practice Address |
133 Fairfield St Saint Albans VT 05478-1726 |
| Practice Telephone | 8025248909 |
| Practice Fax Number | 8025248418 |
| Mailing Telephone | 8025245911 |
| Mailing Fax Number | 8025271057 |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | MARY PIGEON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8025248954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1021555 | 05 |
| Other Name | Type Code |
|---|---|
| Northwestern Pulmonology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140889 | Northwestern Medical Center, Inc. | Pediatrics | 133 Fairfield St Ste 103a, Saint Albans, VT 05478-1726 | 2020-10-07 |
| 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 |
| 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 |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757635 | Mary A Woodhouse | Surgery | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2005-08-16 |
| 1881231579 | Meghan Reilly | Nurse Practitioner | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-12-02 |
| 1922658921 | Northwestern Medical Center, Inc. | Internal Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-09-12 |
| 1942771696 | Christine Corbeil | Nurse Practitioner | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-12-06 |
| 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 |
| 1891288486 | Samantha O'sullivan Cooney | Nurse Practitioner | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-06-08 |
| 1447740618 | Kelsey Dunn | Social Worker | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-05-14 |
| 1518408921 | Ethan John Hundley | Family Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2017-03-17 |
| 1073974663 | Cristine Griffing | Specialist/Technologist | 133 Fairfield St, Nmc Lifestyle Medicine, Saint Albans, VT 05478-1726 | 2016-03-10 |
| Find all providers in the same location | ||||
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972797561 | Frank Song Il Drescher | Internal Medicine | Va Medical Center 111, White River Junction, VT 05009-0001 | 2007-08-28 |
| 1831205673 | Susan Patricia Dunning | Internal Medicine | 1 South Prospect Street, Arnold 2, Uvm Medical Center, Burlington, VT 05401 | 2006-08-22 |
| 1730181686 | Marda E Donner | Internal Medicine | 1148 Kibbee Rd, Brookfield, VT 05036-9620 | 2005-08-11 |
| 1386085033 | Ramasubramanian Baalachandran | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-07-10 |
| 1710320056 | Marta Kokoszynska | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-04-16 |
| 1336448778 | Jessica Badlam | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401 | 2011-03-24 |
| 1346445624 | Prema R Menon | Internal Medicine | 111 Colchester Ave, Pulmonary and Critical Care Division Fahc, Burlington, VT 05405-3421 | 2007-06-18 |
| 1447320627 | Arif Ullah Khan | Internal Medicine | 130 Fisher Rd, Central Vermont Hospital, Berlin, VT 05602-9516 | 2006-11-08 |
| 1891890885 | Diana Wilson | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401 | 2006-09-14 |
| 1760592083 | Veronika Jedlovszky | Internal Medicine | 189 Prouty Dr, Newport, VT 05855-9326 | 2006-08-30 |
| 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.