GLEN MACKENZIE MD PC (NPI# 1467806067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467806067 |
Entity Type | Organization |
Organization Name | GLEN MACKENZIE MD PC |
Practice Address |
160 Benmont Ave Suite 22 Bennington VT 05201-1873 |
Practice Telephone | 8024428649 |
Practice Fax Number | 8024428658 |
Mailing Telephone | 8024428649 |
Mailing Fax Number | 8024428658 |
Enumeration Date | 2016-04-20 |
Last Update Date | 2016-04-20 |
Authorized Official Name | DR. GLEN CARLISLE MACKENZIE (PRESIDENT) |
Authorized Official Telephone | 8024428649 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
420009174 | VT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | OVN1210 | 05 |
Street Address |
160 BENMONT AVE SUITE 22 |
City | BENNINGTON |
State | VT |
Zip Code | 05201-1873 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407840648 | William Alfred Goodman | Psychologist | 160 Benmont Ave, Suite 25, Bennington, VT 05201-1873 | 2005-09-02 |
1376086280 | Scott J Burg | Psychologist | 160 Benmont Ave, Suite C3-95, Bennington, VT 05201-1873 | 2016-11-24 |
1013301324 | Mary Jean Sadlak Phd PC | Psychologist | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873 | 2015-03-25 |
1659785186 | Hawthorn Recovery Center Pllc | Counselor | 160 Benmont Ave, Suite 31, Bennington, VT 05201-1873 | 2014-06-12 |
1104238591 | Louise S. Binette | Counselor | 160 Benmont Ave, Suite 30, Bennington, VT 05201-1873 | 2014-05-20 |
1386944338 | Ileana Tecchio | Acupuncturist | 160 Benmont Ave, Suite 30, Bennington, VT 05201-1873 | 2010-10-25 |
1336451731 | Katherine J Baum PC | Clinical Neuropsychologist | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873 | 2010-07-14 |
1740501071 | Mindful Solutions Pllc | Psychologist | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873 | 2010-06-22 |
1891016820 | Marlana W Freitas | Massage Therapist | 160 Benmont Ave, Suite 4, Bennington, VT 05201-1873 | 2010-06-14 |
1295056356 | K and L Associates | Psychologist | 160 Benmont Ave, Bennington, VT 05201-1873 | 2010-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
Find all providers in zip 05201 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174516397 | Sarah Perkins Dahl | Obstetrics & Gynecology | 345 Elm St, Bennington, VT 05201-2265 | 2005-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992759823 | Vermont Urogynecology Associates, PC | Obstetrics & Gynecology | 71 Knight Ln, Suite 10, Williston, VT 05495-4432 | 2006-05-22 |
1467448787 | Gamal H Eltabbakh | Obstetrics & Gynecology | 1060 Hinesburg Rd, Suite 301, South Burlington, VT 05403-7612 | 2005-09-22 |
1205127354 | Stephen J Woodruff Md Pllc | Obstetrics & Gynecology | 22 Eastview Lane, Barre, VT 05641-5317 | 2011-04-25 |
1174830251 | Vermont Gynecology, PC | Obstetrics & Gynecology | 1775 Williston Rd Ste 110, South Burlington, VT 05403-6491 | 2010-09-09 |
1235463027 | Jane G Conolly | Obstetrics & Gynecology | 1775 Williston Rd, Suite 110, South Burlington, VT 05403-6491 | 2009-09-25 |
1265622070 | Noelle C Thabault Md LLC | Obstetrics & Gynecology | 368 Dorset St, Suite 2b, South Burlington, VT 05403-6236 | 2007-07-27 |
1891740775 | Diane Charland | Obstetrics & Gynecology | 71 Knight Ln, Suite 10, Williston, VT 05495-4432 | 2006-05-22 |
1932154895 | Anne Viselli | Obstetrics & Gynecology | 71 Knight Ln, Suite 10, Williston, VT 05495-4432 | 2006-05-22 |
City | BENNINGTON |
Zip Code | 05201 |
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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.