CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC (NPI# 1619989738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619989738 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC |
| Practice Address |
29 Ridgewood Rd Springfield VT 05156-3050 |
| Practice Telephone | 8028856373 |
| Practice Fax Number | 8028856376 |
| Mailing Telephone | 8028856373 |
| Mailing Fax Number | 8028856376 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | DAVID L MULLER (ADMINISTRATIVE PARTNER) |
| Authorized Official Telephone | 8028856373 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | ========= | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30008018 | 05 | |
| VT | VN1017 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487732822 | Connecticut Valley Orthopaedics & Sports Medicine, PC | Neuromusculoskeletal Medicine, Sports Medicine | 106 Hanover St, Lebanon, NH 03766-1042 | 2006-11-02 |
| Street Address |
29 RIDGEWOOD RD |
| City | SPRINGFIELD |
| State | VT |
| Zip Code | 05156-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843560 | Federico E Fiallos | Surgery | 29 Ridgewood Rd, Springfield, VT 05156-3050 | 2005-07-02 |
| 1295230431 | Jessica Di Marco | Clinical Neuropsychologist | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2018-03-29 |
| 1205174745 | Springfield Medical Care Systems Inc | Clinic/Center | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2013-01-17 |
| 1093020885 | Christi Capron | Counselor | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2010-08-17 |
| 1124353412 | Springfield Medical Care Systems Inc | Clinic/Center | 29 Ridgewood Rd, Suite 300, Springfield, VT 05156-3060 | 2009-10-05 |
| 1356579775 | Twin State Psychological Services | Psychologist | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2009-06-24 |
| 1487802922 | Springfield Hospital | Internal Medicine | 29 Ridgewood Rd, Springfield Primary Care, Springfield, VT 05156-3060 | 2008-09-08 |
| 1083875595 | Springfield Hospital Inc | Family Medicine | 29 Ridgewood Rd, Springfield, VT 05156-3050 | 2008-06-18 |
| 1609035310 | Springfield Hospital | Orthopaedic Surgery | 29 Ridgewood Rd, Springfield Specialty Physicians, Springfield, VT 05156-3050 | 2008-06-06 |
| 1093726366 | Timothy J Mello | Physician Assistant | 29 Ridgewood Rd, Springfield, VT 05156-3050 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790282580 | Meghan Elizabeth Thomas | Specialist/Technologist | 6 Lincoln St, Springfield, VT 05156 | 2018-04-09 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1528443405 | Dan Ciobanu | Dentist | 700 Charlestown Rd., Springfield, VT 05156 | 2015-07-21 |
| 1871869479 | L & M Family Care Givers Inc | Home Health | 365 Summer Street, Suite 204b, Springfield, VT 05156 | 2012-03-28 |
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| 1780700609 | James Rizzo | Chiropractor | 160 Wall Street, Springfield, VT 05156 | 2007-03-22 |
| 1023186202 | Theodore Bennett Robbins | Psychiatry & Neurology | 197 Union Street, Springfield, VT 05156 | 2006-12-04 |
| 1225103534 | Katherine M Duhamel | Counselor | 107 Park Street, Springfield, VT 05156 | 2006-11-21 |
| 1306911615 | Meghen Anne Clancy | Clinical Nurse Specialist | Health Care and Rehabilitation Center, 107 Park St, Springfield, VT 05156 | 2006-11-21 |
| Find all providers in zip 05156 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891706693 | David L Muller | Neuromusculoskeletal Medicine, Sports Medicine | 29 Ridgewood Rd, Springfield, VT 05156-3050 | 2006-08-10 |
| 1508812330 | Michael Harold Rieber | Neuromusculoskeletal Medicine, Sports Medicine | 609 Morris Ave, Springfield, NJ 07081-1511 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518106491 | Champlain Sports Medicine PC | Neuromusculoskeletal Medicine, Sports Medicine | 67 Lincoln St, Essex Junction, VT 05452-3235 | 2009-02-17 |
| 1316005960 | John Russell Johansson | Neuromusculoskeletal Medicine, Sports Medicine | 67 Lincoln St, Essex Junction, VT 05452-3235 | 2006-12-05 |
| City | SPRINGFIELD |
| Zip Code | 05156 |
Please comment or provide details below to improve the information on CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC.
| 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.