NORTHWESTERN MEDICAL CENTER, INC. (NPI# 1760748693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760748693 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDICAL CENTER, INC. |
| Other Organization Name | NORTHWESTERN OPHTHALMOLOGY |
| Practice Address |
128 Fisher Pond Rd, 2nd Floor Suite 3 Saint Albans VT 05478-6058 |
| Mailing Address |
128 Fisher Pond Road, 2nd Floor Suite 3 Saint Albans VT 05478-4405 |
| Practice Telephone | 8027521921 |
| Practice Fax Number | 8027521356 |
| Mailing Telephone | 8027521921 |
| Mailing Fax Number | 8027521356 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-10-23 |
| 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 | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1020384 | 05 |
| Other Name | Type Code |
|---|---|
| Northwestern Ophthalmology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 53 Fairfax Rd, Saint Albans, VT 054784405 | 8025243215 |
| 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 |
| 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 |
| 1174004261 | Northwestern Medical Center, Inc. | Psychiatry & Neurology | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | NORTHWESTERN MEDICAL CENTER, INC. | 133 Fairfield St, St. Albans, VT 05478 |
| Street Address |
128 FISHER POND RD, 2ND FLOOR SUITE 3 |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-6058 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699889972 | Gregory Jason Brophey | Ophthalmology | 156 N Main St, Saint Albans, VT 05478-8501 | 2006-08-17 |
| 1285672501 | P Brian Machanic | Ophthalmology | 156 N Main St, Saint Albans, VT 05478-1561 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235526567 | Jonathan Manhard | Ophthalmology | 1100 Hinesburg Rd Ste 201, South Burlington, VT 05403-7613 | 2015-04-24 |
| 1083905590 | Brian Christopher Doyle | Ophthalmology | 81 River St Ste 204, Montpelier, VT 05602-3750 | 2011-05-02 |
| 1598915332 | Miranda Kirstin Renfrow | Ophthalmology | 1290 Hospital Dr Ste 5, Saint Johnsbury, VT 05819-9205 | 2008-09-30 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| 1689789240 | Gerald R Saparoff Md PC | Ophthalmology | 212 Prouty Drive, Suite 2, Newport, VT 05855 | 2006-08-21 |
| 1437169661 | David J Weissgold | Ophthalmology | 181 Saint Paul St, Burlington, VT 05401-4636 | 2006-08-09 |
| 1275549214 | Joanne Marie Savard | Ophthalmology | 58 East View Lane/berlin, The Eye Center, Barre, VT 05641 | 2006-07-31 |
| 1134146970 | Armando J Coello | Ophthalmology | 58 E View Ln, Barre, VT 05641-5317 | 2006-07-17 |
| 1487670642 | Central Vermont Eye Care, P.C. | Ophthalmology | 69 Allen Street, Suite 15, Rutland, VT 05701 | 2006-07-14 |
| 1205882065 | Thomas J. Cavin | Ophthalmology | 55 Timber Ln, South Burlington, VT 05403-5203 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
| 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.