CENTER FOR INTEGRATIVE MEDICINE (NPI# 1609079763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609079763 |
| Entity Type | Organization |
| Organization Name | CENTER FOR INTEGRATIVE MEDICINE |
| Practice Address |
69 Allen St Suite 9 Rutland VT 05701-4564 |
| Practice Telephone | 8027477730 |
| Practice Fax Number | 8027731609 |
| Mailing Telephone | 8027477730 |
| Mailing Fax Number | 8027731609 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK J. BUCKSBAUM (OWNER) |
| Authorized Official Telephone | 8027477730 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356499057 | Center for Integrative Medicine | Clinic/Center | 20636 Biscayne Blvd, Aventura, FL 33180-1534 | 2007-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CENTER FOR INTEGRATIVE MEDICINE | 464 Ne Norton Ave, Bend, OR 97701 |
| Washington State Corporations | CENTER FOR INTEGRATIVE MEDICINE AT VIRGINIA MASON, P.C. | 1100 9th Ave, M/s: Gb-adm, Seattle, WA 98101-2756 |
| Oregon Corporations, Companies and Business Names | CENTER FOR INTEGRATIVE MEDICINE IN PUBLIC HEALTH | 2634 Se Kelly Street, Portland, OR 97202 |
| Vermont Business Registrations | CENTER FOR INTEGRATIVE MEDICINE, PLLC THE | 69 Allen St, #9, Rutland, VT 05701 |
| Street Address |
69 ALLEN ST SUITE 9 |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913003 | Robert W Hartenstein | Audiologist | 69 Allen St, Ste 2, Rutland, VT 05701-4564 | 2005-06-23 |
| 1285108951 | Riley Ballard | Specialist/Technologist | 69 Allen St, Rutland, VT 05701-4564 | 2019-01-16 |
| 1902144405 | Peter C. Stickney, Md PC | Internal Medicine | 69 Allen St, Suite #5, Rutland, VT 05701-4590 | 2013-01-18 |
| 1831449412 | Glenn Anthony Gregory | Dentist | 69 Allen St, Suite 10, Rutland, VT 05701-4564 | 2012-09-11 |
| 1720397805 | Christopher Allen Nisbet | Optometrist | 69 Allen St, Suite 15, Rutland, VT 05701-4564 | 2010-10-06 |
| 1639301153 | Elizabeth H. Foley, M. D., PC | Dermatology | 69 Allen St, Suite #14, Rutland, VT 05701-4564 | 2009-08-17 |
| 1427283282 | Mid Vermont Healthcare | Nurse Practitioner | 69 Allen St, Suite 10, Rutland, VT 05701-4564 | 2009-05-22 |
| 1053511147 | Vermont Optical Corp | Eyewear Supplier (Equipment, not the service) | 69 Allen St, Suite 15, Rutland, VT 05701-4564 | 2007-07-18 |
| 1417151564 | Martin G Carmody | Podiatrist | 69 Allen St, Ste 8, Rutland, VT 05701-4564 | 2007-06-13 |
| 1013123355 | Vermont Physicians Clinic Dba Green Mountain Family Medicine | Family Medicine | 69 Allen St, Ste 203, Rutland, VT 05701-4564 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861783664 | Kammie Kendra Kayl | Specialist | 21 East Washington St., Rutland, VT 05701-4101 | 2011-04-27 |
| 1245244144 | Rutland Regional Health Services | Specialist | 1 Commons St, Rutland, VT 05701-4652 | 2006-07-28 |
| 1821083650 | Melbourne Duncan Boynton | Specialist | 160 Allen St, Rutland, VT 05701-4560 | 2005-09-19 |
| 1407841265 | Joseph Henry Vargas IIi | Specialist | 3 Albert Cree Dr, Rutland, VT 05701-4601 | 2005-09-16 |
| 1083803795 | Integrative Cardiology | Specialist | 8 Commons St, Rutland, VT 05701-4651 | 2007-10-18 |
| 1013082098 | Bartholomew J Bonazinga | Specialist | 12 Commons St, Rutland, VT 05701 | 2006-11-22 |
| 1407946692 | Cheryl Ann Reynolds | Specialist | 92 Allen St, Suite 8, Rutland, VT 05701-4562 | 2006-10-16 |
| 1396764403 | Stanley M Shapiro | Specialist | 12 Commons St, Rutland, VT 05701 | 2006-07-19 |
| 1992773154 | Matthew G Zmurko | Specialist | 160 Allen St, Rutland, VT 05701-4560 | 2006-03-14 |
| 1801881610 | David Hastings Bahnson | Specialist | 3 Albert Cree Dr, Rutland, VT 05701-4601 | 2005-09-19 |
| Find all providers in RUTLAND | ||||
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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.