PORTER HOSPITAL INC (NPI# 1609896935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609896935 |
| Entity Type | Organization |
| Organization Name | PORTER HOSPITAL INC |
| Other Organization Name | PORTER HOSPITAL INC DBA NESHOBE FAMILY MEDICINE |
| Practice Address |
61 Court Dr Neshobe Family Medicine Brandon VT 05733 |
| Mailing Address |
104 Porter Dr Middlebury VT 05753-8527 |
| Practice Telephone | 8022473755 |
| Practice Fax Number | 8022474560 |
| Mailing Telephone | 8023885682 |
| Mailing Fax Number | 8023885692 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | STEVE CIAMPA (CFO) |
| Authorized Official Telephone | 8023884752 |
| Is Organization Subpart | Y |
| Parent Organization Name | PORTER HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0VN1032 | 05 |
| Other Name | Type Code |
|---|---|
| Porter Hospital Inc dba Neshobe Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740291400 | Porter Hospital Inc | General Acute Care Hospital | 115 Porter Drive, Middlebury, VT 05753 | 2006-08-10 |
| 1841210176 | Porter Hospital Inc | Internal Medicine | 116 Porter Drive, Porter Internal Medicine, Middlebury, VT 05753 | 2006-07-20 |
| 1124048459 | Porter Hospital Inc | Otolaryngology | 1330 Exchange Street Suite 202, Porter Ent, Middlebury, VT 05753 | 2006-07-20 |
| 1437435245 | Porter Hospital Inc | Orthopaedic Surgery | 1436 Exchange St, Middlebury, VT 05753-4497 | 2011-10-25 |
| 1275839425 | Porter Hospital Inc | Surgery | 115 Porter Dr, Middlebury, VT 05753-8423 | 2011-02-07 |
| 1033340641 | Porter Hospital Inc | Family Medicine | 104 Porter Dr, Middlebury, VT 05753-8527 | 2009-07-30 |
| 1093997249 | Porter Hospital Inc | Internal Medicine | 6 Park Pl, Bristol, VT 05443-1229 | 2007-11-29 |
| 1548380819 | Porter Hospital Inc | Advanced Practice Midwife | 20 Armory Ln, Vergennes, VT 05491-1300 | 2007-03-30 |
| 1548302862 | Porter Hospital Inc | Advanced Practice Midwife | 116 Porter Dr, Middlebury, VT 05753-8527 | 2007-02-13 |
| 1265578777 | Porter Hospital Inc | Medicare Defined Swing Bed Unit | 115 Porter Drive, Middlebury, VT 05753 | 2007-01-30 |
| Street Address |
61 COURT DR NESHOBE FAMILY MEDICINE |
| City | BRANDON |
| State | VT |
| Zip Code | 05733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034356 | Lucy Mckeon | Family Medicine | 61 Court Dr, Brandon, VT 05733-8407 | 2005-09-26 |
| 1205349594 | Todd Joseph Smith | Nurse Practitioner | 61 Court Dr, Brandon, VT 05733-8407 | 2017-11-09 |
| 1598754988 | William D Barrett | Family Medicine | 61 Court Dr, Brandon, VT 05733-8407 | 2005-10-18 |
| 1871582320 | Carrie C Wulfman | Family Medicine | 61 Court Dr, Brandon, VT 05733-8407 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275919011 | James Aaron Bartshe | Counselor | 146 Lake Hortonia Road, Sudbury, VT 05733 | 2015-08-04 |
| 1255668562 | Aliceanne Lavallee | Massage Therapist | 422 Schoolhouse Road, Sudbury, VT 05733 | 2009-11-06 |
| 1336361799 | Middlebury Physical Therapy PC | Physical Medicine & Rehabilitation | 295 Colonial Drive, Middlebury, VT 05733 | 2007-05-03 |
| 1568586667 | Benjamin Franklin Lawton | Dentist | 5 Carver St., Brandon, VT 05733 | 2007-03-16 |
| 1336767755 | Green Mountain Psychology Pllc | Clinic/Center | 29 Union Street, The Granary, First Floor, Brandon, VT 05733 | 2020-07-13 |
| 1417571100 | Elizabeth D.c. Taylor | Psychologist | The Granary, 29 Union Street, Brandon, VT 05733-0573 | 2020-05-29 |
| 1295197549 | John Humphreys | Specialist | 8 Conant Sq, Brandon, VT 05733-1018 | 2016-03-25 |
| 1740588979 | Gregor Allen Outslay | Pharmacist | 1 Carver St, Brandon, VT 05733-1103 | 2011-03-12 |
| 1023113040 | Thomas A Coleman | Dentist | 5 Carver St, Brandon, VT 05733-1103 | 2006-09-14 |
| 1770064388 | Brandon Family Dentistry | Clinic/Center | 5 Carver St, Brandon, VT 05733-1103 | 2018-08-22 |
| Find all providers in zip 05733 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1346887353 | Kelli Marie Foster | Family Medicine | 515 Belle Oak Pl, Brandon, MS 39042-8111 | 2019-12-09 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1033566161 | Medi Brandon LLC | Family Medicine | 203 W Bloomingdale Ave, Brandon, FL 33511-7404 | 2016-05-18 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1457780637 | Jennifer Packing-ebuen | Family Medicine | 426w Brandon Blvd, Brandon, FL 33511-5002 | 2013-11-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1265780910 | Uc1, LLC | Family Medicine | 799 Lumsden Rd, Brandon, FL 33511 | 2012-08-28 |
| 1992082721 | Mathew Medical Consulting Pa | Family Medicine | 635 Tuscanny St, Brandon, FL 33511-6165 | 2011-11-08 |
| 1003192246 | Sandra Dorsey | Family Medicine | 122 South Moon Avenue, Brandon, FL 33511 | 2011-11-02 |
| Find all providers in BRANDON | ||||
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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.