DR. COLLEEN MARY HORAN (NPI# 1821017583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821017583 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN MARY HORAN |
| Credential | MD |
| Practice Address |
130 Fisher Rd Mob-a, Suite 1-4 Berlin VT 05602-9516 |
| Mailing Address |
Po Box 547 Att: Cvmc Finance Department Barre VT 05641-0547 |
| Practice Telephone | 8023715961 |
| Practice Fax Number | 8023715960 |
| Mailing Telephone | 8023715961 |
| Mailing Fax Number | 8023715960 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0420012252 | VT | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD425579 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101331510 | 05 | |
| NJ | 0074411 | 05 | |
| VT | 1019449 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742077 | Colleen Horan | Registered Nurse | 12 Emily Ct, Moriches, NY 11955-1817 | 2020-02-18 |
| 1609350560 | Colleen Mary Horan | Speech-Language Pathologist | 85 Revere Dr # Aa, Northbrook, IL 60062-8001 | 2018-09-17 |
| Street Address |
130 FISHER RD MOB-A, SUITE 1-4 |
| City | BERLIN |
| State | VT |
| Zip Code | 05602-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067063 | Michael S Cohn | Urology | 130 Fisher Rd, Mob-c, Ste 1, Berlin, VT 05602-9516 | 2005-07-18 |
| 1194384974 | David Alexander Segel | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-06-06 |
| 1497210959 | Brenda Neff | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-02-08 |
| 1861969412 | Michael Ed Shaw | Physician Assistant | 130 Fisher Rd, Berlin, VT 05602-9516 | 2018-10-31 |
| 1750819371 | Jamie D Bariteau | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2017-05-25 |
| 1104378066 | Amy Gendron | Dietitian, Registered | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2016-10-26 |
| 1457809238 | Bonnie Solley | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2016-09-21 |
| 1598150914 | Melissa Beaudry | Nurse Practitioner | 130 Fisher Rd, Mob-b Suite 3, Berlin, VT 05602 | 2015-04-02 |
| 1508256843 | Heidi Eames | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2015-01-26 |
| 1053725200 | Brett Erdreich | Internal Medicine | 130 Fisher Rd, Berlin, VT 05602 | 2014-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477829968 | John Robert Bower | Obstetrics & Gynecology | 31 N Pintail Dr, Berlin, MD 21811-1736 | 2012-03-28 |
| 1376559500 | Christine Neto | Obstetrics & Gynecology | 1107 Racetrack Road, Berlin, MD 21811 | 2006-07-31 |
| 1225051766 | Stephen J Woodruff | Obstetrics & Gynecology | 22 Eastview Lane, Berlin, VT 05641-5317 | 2006-07-25 |
| 1851327001 | Liezl G. Irisari | Obstetrics & Gynecology | 11107 Racetrack Rd, Berlin, MD 21811-3279 | 2006-06-22 |
| 1124414271 | Rachel Long | Obstetrics & Gynecology | 130 Fisher Rd Ste 1-4, Berlin, VT 05602-9000 | 2015-04-15 |
| 1477864114 | Priyanka Singh | Obstetrics & Gynecology | 130 Fisher Rd Ste 1-4, Cvmc Women's Health, Berlin, VT 05602-9000 | 2010-06-28 |
| 1396954871 | Julie A Vogel | Obstetrics & Gynecology | 130 Fisher Rd, Suite 1-4, Berlin, VT 05602-9516 | 2007-05-22 |
| 1437200565 | Stephen A Kull | Obstetrics & Gynecology | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2007-01-16 |
| 1194817759 | Krzysztof Plociennik | Obstetrics & Gynecology | 7 Page Hill Rd, Berlin, NH 03570-3531 | 2006-09-29 |
| 1528089307 | Roger E Ehret | Obstetrics & Gynecology | 130 Fisher Rd, Mob-a Suite 1-4, Berlin, VT 05602-9516 | 2006-07-21 |
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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.