NORTHWESTERN MEDICAL CENTER, INC. (NPI# 1629334164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629334164 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDICAL CENTER, INC. |
| Other Organization Name | NORTHWESTERN PARTNERS IN HOPE AND RECOVERY |
| Practice Address |
17 Catherine St Saint Albans VT 05478-2205 |
| Practice Telephone | 8025248809 |
| Practice Fax Number | 8025241289 |
| Mailing Telephone | 8025248809 |
| Mailing Fax Number | 8025241250 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | MARY E PIGEON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8025248954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1020281 | 05 |
| Other Name | Type Code |
|---|---|
| Northwestern Comprehensive Pain | Other Name - Individual/Organization |
| Northwestern Partners in Hope and Recovery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140889 | Northwestern Medical Center, Inc. | Pediatrics | 133 Fairfield St Ste 103a, Saint Albans, VT 05478-1726 | 2020-10-07 |
| 1437634359 | Northwestern Medical Center, Inc. | Pediatrics | 71 S Main St, Saint Albans, VT 05478-2274 | 2018-09-26 |
| 1760748693 | Northwestern Medical Center, Inc. | Ophthalmology | 128 Fisher Pond Rd, 2nd Floor, Suite 3, Saint Albans, VT 05478-6058 | 2012-04-04 |
| 1003118563 | Northwestern Medical Center, Inc. | Surgery | 1 Crest Rd, Suite B, Saint Albans, VT 05478-9753 | 2010-12-03 |
| 1417274663 | Northwestern Medical Center, Inc. | Family Medicine | 133 Fairfield St Ste 103, Saint Albans, VT 05478-1726 | 2010-04-28 |
| 1669677043 | Northwestern Medical Center, Inc. | Orthopaedic Surgery | 133 Fairfield St Ste 101, Saint Albans, VT 05478-1726 | 2007-06-18 |
| 1578650099 | Northwestern Medical Center, Inc. | Clinic/Center | 133 Fairfield St Ste 102, Saint Albans, VT 05478-1726 | 2006-10-06 |
| 1114530409 | Northwestern Medical Center, Inc. | Family Medicine | 12 Crest Rd, Saint Albans, VT 05478-9701 | 2020-08-26 |
| 1922658921 | Northwestern Medical Center, Inc. | Internal Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-09-12 |
| 1255809836 | Northwestern Medical Center, Inc. | Dietitian, Registered | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | NORTHWESTERN MEDICAL CENTER, INC. | 133 Fairfield St, St. Albans, VT 05478 |
| Street Address |
17 CATHERINE ST |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871808287 | Suzan Riggsbee White | Psychiatry & Neurology | 17 Catherine St, Saint Albans, VT 05478-2205 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
| 1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
| 1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
| 1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
| 1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
| 1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
| Find all providers in zip 05478 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374250 | Stanley Ikezi, Md PC | Anesthesiology | 188 18 Linden Blvd, Saint Albans, NY 11412-4028 | 2020-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962558502 | Vermont Pain Management PC | Anesthesiology | 1 Kennedy Dr Ste U1, South Burlington, VT 05403-7166 | 2007-01-26 |
| 1710371703 | Corey Sheahan | Anesthesiology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-03-27 |
| 1366580193 | Anne Vitaletti-coughlin | Anesthesiology | 530 Washington Hwy, Suite 1, Morrisville, VT 05661-8715 | 2007-02-02 |
| 1972680494 | Gregory A Walker | Anesthesiology | 189 Prouty Dr, Medical Arts Building, Newport, VT 05855-9326 | 2006-11-01 |
| 1144247834 | Anne Vitaletti-coughlin | Anesthesiology | 530 Washington Hwy, Pob Suite 1, Morrisville, VT 05661-8715 | 2006-07-17 |
| 1790715670 | Carlos A. Pino | Anesthesiology | 111 Colchester Ave, Department of Anesthesia - Wp 2, Burlington, VT 05401-1473 | 2006-07-04 |
| 1689628786 | Anesthesiology Associates of Bennington | Anesthesiology | 100 Hospital Drive, Anesthesia Department, Bennington, VT 05201-5004 | 2006-05-22 |
| 1568414373 | North Country Hospital & Health Center Inc | Anesthesiology | 189 Prouty Dr, Medical Arts Building, Newport, VT 05855-9326 | 2006-05-17 |
| City | SAINT ALBANS |
| Zip Code | 05478 |
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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.