JEFFREY ERIK HADDOCK (NPI# 1861418782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861418782 |
| Entity Type | Individual |
| Full Name | JEFFREY ERIK HADDOCK |
| Credential | M.D, |
| Practice Address |
586 Oak Hill Rd Williston VT 05495-7103 |
| Mailing Address |
69 Sawmill Rd Jericho VT 05465-3143 |
| Practice Telephone | 8028788131 |
| Practice Fax Number | 8028796853 |
| Mailing Telephone | 8028992384 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0420011189 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A88830 | 01 |
| DEA NUMBER | BH7445201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902249519 | Jeffrey J Haddock | Social Worker | 31500 Schoolcraft Rd, Livonia, MI 48150-1805 | 2013-04-12 |
| Street Address |
586 OAK HILL RD |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572942 | Zachary Nollet | Physician Assistant | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2020-06-10 |
| 1831685767 | Mirsada Nurkanovic | Nurse Practitioner | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2018-07-03 |
| 1831606326 | Lily Stolberg | Nurse Practitioner | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2018-01-05 |
| 1366853525 | Shannon Burns | Specialist/Technologist | 586 Oak Hill Rd, Williston, VT 05495 | 2014-05-09 |
| 1144647702 | Amy Denis | Nurse Practitioner | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2014-03-20 |
| 1215254289 | Jena S Katzman | Nurse Practitioner | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2010-04-29 |
| 1902037914 | Michele Diane Leduc | Physician Assistant | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2009-08-07 |
| 1639339617 | Nancy Hausner Abernathey | Social Worker | 586 Oak Hill Rd, Thomas Chittenden Health Center, Williston, VT 05495-7103 | 2008-06-12 |
| 1710053004 | Thomas Chittenden Health Center | Family Medicine | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2006-11-28 |
| 1689751539 | Caroline L Slimovitch | Family Medicine | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2006-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
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| 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 |
|---|---|---|---|---|
| 1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
| 1265520605 | William E Code | Family Medicine | 1102 Main, Williston, ND 58801 | 2006-10-11 |
| 1225146954 | Stephen E Mann | Family Medicine | 586 Oak Hill, Williston, VT 05495 | 2006-08-25 |
| 1992793673 | William Curtis Small | Family Medicine | 1213 15th Ave W, Williston, ND 58801-3800 | 2005-10-07 |
| 1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
| 1437780764 | Chantal Marie Nichols | Family Medicine | 630 N Main St, Williston, FL 32696-1705 | 2020-01-27 |
| 1780220921 | Kristen M Caulder | Family Medicine | 13975 Church St, Williston, SC 29853-5835 | 2019-11-22 |
| 1508352915 | Tyler Greg Egan | Family Medicine | 300a Nw 1st Ave, Williston, FL 32696-2006 | 2018-07-09 |
| 1518457746 | Danielle Jasinski | Family Medicine | 28 Park Ave, Williston, VT 05495-9701 | 2018-05-14 |
| 1508373572 | Family Medicine Partners - Vermont | Family Medicine | 66 Knight Ln Ste 10, Williston, VT 05495-9308 | 2017-12-29 |
| Find all providers in WILLISTON | ||||
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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.