KEVIN A RODGERS (NPI# 1720014434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720014434 |
| Entity Type | Individual |
| Full Name | KEVIN A RODGERS |
| Credential | M.D. |
| Practice Address |
1315 Hospital Dr St Johnsbury VT 05819-9210 |
| Practice Telephone | 8027487463 |
| Practice Fax Number | 8027487541 |
| Mailing Telephone | 8027487463 |
| Mailing Fax Number | 8027487541 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 042-0009380 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30206051 | 05 | |
| VT | 0VN1433 | 05 | |
| AK | HS19OP | 05 | |
| AK | HS19IP | 05 |
| Street Address |
1315 HOSPITAL DR |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531477 | Robert J Grant | Emergency Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2005-07-12 |
| 1083245963 | Kevin M Crawley | Dietitian, Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2020-01-30 |
| 1942778717 | Jessica Foulke | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2018-11-08 |
| 1548770191 | Courtenay Allen Lahey | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-10-10 |
| 1013430511 | Northeastern Vermont Regional Hospital, Inc | Internal Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-07-18 |
| 1386184372 | Kelly Lemieux | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-02-24 |
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1154781268 | Nicholas Delaney | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1003275397 | Katherine A. Harris | Social Worker | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-02-16 |
| 1386001345 | Leah Marie Pearl | Nurse Anesthetist, Certified Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| 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 |
|---|---|---|---|---|
| 1669436978 | Dana C Kraus | Family Medicine | 185 Sherman Drive, Suite 1, St Johnsbury, VT 05819 | 2006-04-13 |
| 1639700719 | Post Acute Specialists of Vermont Plc | Family Medicine | 1248 Hospital Dr, St Johnsbury, VT 05819-9239 | 2020-01-28 |
| 1528262722 | Thomas Andrew Myrter | Family Medicine | 714 Breezy Hill Rd, St Johnsbury, VT 05819-8882 | 2007-06-12 |
| 1366453433 | Paul M Newton | Family Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-08-11 |
| 1689637399 | John M Ajamie | Family Medicine | 1315 Hospital Dr, Northeastern Vt Regional Hospital, St Johnsbury, VT 05819-9210 | 2006-04-11 |
| 1942275771 | John Eric Koella | Family Medicine | 1315 Hospital Dr, Northeastern Vt Regional Hospital, St Johnsbury, VT 05819-9210 | 2006-02-23 |
| 1477545739 | Stephen G Nolker | Family Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700469 | Gfm House Call Practice | Family Medicine | 23 Stratton, Winhall, VT 05340 | 2020-05-05 |
| 1447800792 | Peter M Sher, Md, Plc | Family Medicine | 4 S Main St Ste 6, Hardwick, VT 05843-7070 | 2019-09-18 |
| 1992353445 | Village Health, Inc. | Family Medicine | 5 Park St Ste 3a, Middlebury, VT 05753-1169 | 2019-08-28 |
| 1528620838 | Five-town Health Alliance, Inc | Family Medicine | 56 College St, Middlebury, VT 05753-1447 | 2019-07-08 |
| 1134604622 | Little Rivers Health Care, Inc. | Family Medicine | 36 Oxbow Dr, Bradford, VT 05033-9037 | 2018-10-01 |
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1225400237 | Community Health Centers of The Rutland Region, Inc. | Family Medicine | 71 Allen Pond, Suite 403, Rutland, VT 05701-4570 | 2015-10-29 |
| 1871927806 | Langdon Swain Lawrence | Family Medicine | 4276 Silver St, Hinesburg, VT 05461-9492 | 2013-08-27 |
| 1871840843 | Five-town Health Alliance, Inc | Family Medicine | 61 Pine Street, Building 4, Bristol, VT 05443 | 2012-08-09 |
| 1770843575 | Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | 2012-05-25 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
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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.