DR. CLIFTON FREDERICK LORD (NPI# 1497828859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497828859 |
| Entity Type | Individual |
| Full Name | DR. CLIFTON FREDERICK LORD |
| Credential | MD |
| Practice Address |
15 State St Windsor VT 05089-1201 |
| Practice Telephone | 8026749400 |
| Practice Fax Number | 8026749410 |
| Mailing Telephone | 8026749400 |
| Mailing Fax Number | 8026749410 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
0420007259 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0006638 | 05 |
| Street Address |
15 STATE ST |
| City | WINDSOR |
| State | VT |
| Zip Code | 05089-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417277674 | Windsor Chiropractic Associates | Chiropractor | 15 State St, Windsor, VT 05089-1201 | 2010-06-10 |
| 1962519108 | Lauren D Mcclure | Family Medicine | 15 State St, Windsor, VT 05089-1201 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235307133 | Jennifer Ann Grimes | Occupational Therapy Assistant | 49 Cedar Hill Drive, Windsor, VT 05089 | 2008-02-13 |
| 1689870180 | Lisa J Amodeo | Physical Therapist | 49 Cedar Hill Ln, Windsor, VT 05089 | 2007-06-22 |
| 1316209109 | Karen D Mcginty | Social Worker | 141 Etta Frasier Dr, Windsor, VT 05089 | 2012-06-08 |
| 1760448450 | Mary K Joyce | Family Medicine | 289 County Rd, Mt Ascutney Physician Practices, Windsor, VT 05089 | 2006-04-22 |
| 1417254772 | Caitlin S Woodbury | Chiropractor | 20 State St, Windsor, VT 05089-1202 | 2011-02-23 |
| 1568000362 | Willows of Windsor | Custodial Care Facility | 121 State St, Windsor, VT 05089-1213 | 2019-12-12 |
| 1922130236 | State Street Enterprise, LLC | Assisted Living Facility | 45 State St, Windsor, VT 05089-1213 | 2007-03-12 |
| 1710070115 | Cecily M. Monro | Psychologist | 287 County Rd, Windsor, VT 05089-1261 | 2006-09-30 |
| 1275742124 | Cynthia Jean Koch | Pharmacist | 6 Court St, Windsor, VT 05089-1267 | 2007-05-21 |
| 1134588403 | Anne Marie Kelly | Social Worker | 82 State St, Windsor, VT 05089-1276 | 2016-02-16 |
| Find all providers in zip 05089 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639381668 | Connecticut Valley Recovery Services, Inc. | Internal Medicine | 141 Etta Frasier Dr, Windsor, VT 05089-1315 | 2007-05-03 |
| 1750932646 | Connecticut Valley Addiction Recovery, Inc | Internal Medicine | 141 Etta Frasier Dr, Windsor, VT 05089-1315 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003117078 | Mark E Logan Md PC | Internal Medicine | 199 Stratton Rd, Rutland, VT 05701-4621 | 2010-11-08 |
| 1447208269 | William Bradford Hoge Bissell | Internal Medicine | 160 Allen Street, Rutland Regional Medical Center, Rutland, VT 05701 | 2006-05-04 |
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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.