DR. HENRY SOUTHALL (NPI# 1770674137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770674137 |
| Entity Type | Individual |
| Full Name | DR. HENRY SOUTHALL |
| Credential | M.D. |
| Practice Address |
439 Washington Hwy Morrisville VT 05661-8969 |
| Mailing Address |
Po Box 250 Morrisville VT 05661-0250 |
| Practice Telephone | 8028885000 |
| Practice Fax Number | 8028885060 |
| Mailing Telephone | 8028885000 |
| Mailing Fax Number | 8028885060 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
042-0005150 | VT | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
042-0005150 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0004503 | 05 | |
| VT | MVP | 11V054 | 01 |
| VT | BC/BS OF VT | 4503 | 01 |
| VT | MVP | 31V500 | 01 |
| Street Address |
439 WASHINGTON HWY |
| City | MORRISVILLE |
| State | VT |
| Zip Code | 05661-8969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161958 | Sara Davis | Dentist | 65 Northgate Ave #11, Morrisville, VT 05661 | 2019-06-04 |
| 1326587296 | Michelle Yando | Student in an Organized Health Care Education/Training Program | 610 Morristown Corners Rd, Morrisville, VT 05661 | 2017-02-13 |
| 1174993273 | Kristine Kupcha | Counselor | 379 Washington Highway, Morrisville, VT 05661 | 2015-10-01 |
| 1639549942 | Joanne Mcgrath | Counselor | 72 Harrel Street, Morrisville, VT 05661 | 2015-09-29 |
| 1245615814 | Therapeutic Counseling and Consulting Services LLC | Counselor | 34 Pleasant St Ste 2, Morrisville, VT 05661 | 2015-07-24 |
| 1407243272 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13 Vermont 15 East, Morrisville, VT 05661 | 2015-04-20 |
| 1487058137 | Morrisville Family Dental, Plc | Dentist | 5 Park St., Suite 365, Morrisville, VT 05661 | 2014-10-09 |
| 1861809543 | Breanna Hart | Psychologist | 607 Washington Higway, Morrisville, VT 05661 | 2014-07-15 |
| 1770843575 | Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | 2012-05-25 |
| 1770871832 | Carol Lehmann | Occupational Therapist | 74 Portland Street, Suite B, Morrisville, VT 05661 | 2011-07-11 |
| Find all providers in zip 05661 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376639021 | Dorothy Fisher | Internal Medicine | 15 Rustic Drive, Essex Jct., VT 05452 | 2006-10-04 |
| 1992142939 | Alexandra L Messerli | Internal Medicine | 353 Blair Park Rd, Williston, VT 05495-7530 | 2013-05-31 |
| 1801005632 | Michael Andrew Lamantia | Internal Medicine | 792 College Pkwy, Uvm Medical Center - Div. of Internal Med. & Geriatrics, Colchester, VT 05446-3052 | 2007-05-21 |
| 1508949553 | John H Wasson | Internal Medicine | 215 N Main St, White River Junction, VT 05009-0001 | 2006-10-23 |
| 1427158989 | Zail Suzanne Berry | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-09-25 |
| 1396849972 | Christopher David Nice | Internal Medicine | 215 N Main St, Va, White River Junction, VT 05001-3833 | 2006-09-12 |
| 1679589550 | Thomas Walter Lewis | Internal Medicine | 19 Belmont Ave, Suite 105, Brattleboro, VT 05301-7109 | 2006-07-31 |
| 1780608588 | Robert Karp | Internal Medicine | 1 S Prospect St, Burlington, VT 05401-3456 | 2006-07-26 |
| 1700854379 | Richard M Orlan | Internal Medicine | 19 Belmont Ave, Suite 1201, Brattleboro, VT 05301-7109 | 2006-03-09 |
| City | MORRISVILLE |
| Zip Code | 05661 |
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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.