NORTHEAST KINGDOM HEMATOLOGY ONCOLOGY PLLC


Address: 637 Union St, Newport, VT 05855-5498
Phone: 8023347177

NORTHEAST KINGDOM HEMATOLOGY ONCOLOGY PLLC (NPI# 1689094039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689094039
Entity Type Organization
Organization Name NORTHEAST KINGDOM HEMATOLOGY ONCOLOGY PLLC
Practice Address 637 Union St
Newport
VT 05855-5498
Mailing Address Po Box 838
637 Union Street
Newport
VT 05855-5498
Practice Telephone 8023347177
Practice Fax Number 8024879299
Mailing Telephone 8023347177
Mailing Fax Number 8024879299
Enumeration Date 2014-04-24
Last Update Date 2014-10-28
Authorized Official Name DR. LESLIE C LOCKRIDGE (SOLE PROPRIETOR/SOLE OWNER)
Authorized Official Telephone 8023347177
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
0420011226 VT Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174901342 Northeast Kingdom Hematology Oncology Pllc Licensed Practical Nurse 637 Union St, Newport, VT 05855-5498 2015-05-08

Office Location

Street Address 637 UNION ST
City NEWPORT
State VT
Zip Code 05855-5498

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437133352 Leslie C Lockridge Internal Medicine 637 Union St, Newport, VT 05855 2005-12-05
1174901342 Northeast Kingdom Hematology Oncology Pllc Licensed Practical Nurse 637 Union St, Newport, VT 05855-5498 2015-05-08
1104091909 Paul M. Julien Pllc Otolaryngology 637 Union St, Newport, VT 05855-5498 2008-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679170922 Katrina Marie Prive Nurse Practitioner 799 Salem View Heights, Newport, VT 05855 2020-10-08
1265949903 Jodeci Malixi Dentist 494 Highland Ave #1, Newport, VT 05855 2018-01-03
1568971984 Roderic R Knights Jr. Social Worker 121 Duchess Ave Ste B, Newport, VT 05855 2017-09-28
1952753311 Gabrielle Marcotte Speech-Language Pathologist 189 Prouty Dr, Newport, VT 05855 2016-07-11
1215385919 Elizabeth Torres Behavioral Analyst 4088 Hinman Settler Rd, Newport, VT 05855 2016-06-03
1598147175 Emmi Rena Chapdelaine Massage Therapist 419b Route 105, Newport, VT 05855 2015-06-19
1164721783 Elaine Marie Nicol-cashin Pharmacist 59 Waterfront Plaza, Newport, VT 05855 2011-03-22
1053589374 Francis L Pinard Od PC Optometrist 124 East Main Street, Suite #1, Newport, VT 05855 2008-02-20
1073717112 Freedom Physical Therapy, P.c Physical Therapist 419a Vt Rt 105, Suite B, Newport, VT 05855 2007-06-13
1902027402 Nancy Lynn Stevenson-lyon Specialist/Technologist 209 Veterans Ave., Newport, VT 05855 2007-05-01
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831246305 Tennessee Cancer Specialists Pllc Internal Medicine 423 2nd Street, Tennova Newport Medical Center, Newport, TN 37821-3702 2007-01-05
1578813903 Samaritan Pacific Health Services Internal Medicine 930 Sw Abbey St, Newport, OR 97365-4820 2012-09-13
1710103536 Rimini A Breakstone Internal Medicine 11 Friendship St, Newport, RI 02840-2209 2007-04-18
1972634350 North Country Hospital & Health Systems Inc Internal Medicine 189 Prouty Dr, Newport, VT 05855-9326 2007-03-08
1205984911 Tennessee Cancer Specialists Pllc Internal Medicine 434 4th St, Suite 208, Newport, TN 37821-3746 2007-01-08
1366528366 North Country Hospital & Health Center Inc Internal Medicine 189 Prouty Dr, Newport, VT 05855-9326 2006-10-31
1295725141 Alessandro Papa Internal Medicine 19 Friendship St, Suite 360, Newport, RI 02840-2200 2005-10-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558503888 Eswar Tipirneni Internal Medicine 130 Fisher Rd. Cvmc - Hem/onc, Mob Ste. #3, 130 Fisher Rd., Berlin, VT 05602 2009-04-01
1295929222 Neil Adrian Zakai Internal Medicine Given Building E214 University of Vermont, 89 Beaumont Ave, Burlington, VT 05405-0001 2007-09-03
1043302979 Richard Frank Branda Internal Medicine 1 S. Prospect St, Burlington, VT 05401 2006-09-28
1447257555 Vermont Center for Cancer Medicine, Inc. Internal Medicine 792 College Pkwy, Suite 207, Colchester, VT 05446-3052 2005-07-05
1306842844 Margaret Kennedy Internal Medicine Hematology Oncology 89 Beaumont Ave, Given Building E-14, Burlington, VT 05405-2156 2005-06-21
1578991675 Sakshi Jasra Internal Medicine 111 Colchester Ave, Burlington, VT 05401 2013-10-29
1003248238 Champlain Valley Hematology Oncology, PC Internal Medicine 792 College Pkwy, Suite 207, Colchester, VT 05446-3052 2013-07-30
1114367463 Diego Andres Adrianzen Herrera Internal Medicine 111 Colchester Ave, Burlington, VT 05401-1473 2013-07-01
1841555083 Shahid Sattar Ahmed Internal Medicine 111 Colchester Ave, Burlington, VT 05401-1473 2012-07-12
1861773913 Hibba Tul Rehman Internal Medicine 111 Colchester Ave, Burlington, VT 05401-1473 2011-09-02
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Competitor

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City NEWPORT
Zip Code 05855

Improve Information

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Dataset Information

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.

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