UNIVERSITY OF VERMONT MEDICAL GROUP NEW YORK PLLC (NPI# 1932123684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932123684 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF VERMONT MEDICAL GROUP NEW YORK PLLC |
| Other Organization Name | UVM MEDICAL GROUP NY |
| Practice Address |
70 Constable St Malone NY 12953-1324 |
| Mailing Address |
111 Colchester Ave Burlington VT 05401-1473 |
| Practice Telephone | 5184816131 |
| Mailing Telephone | 8028471882 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-04-23 |
| Authorized Official Name | DAVID SCHNEIDER (MANAGER) |
| Authorized Official Telephone | 8028471882 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1012322 | 05 |
| Other Name | Type Code |
|---|---|
| UVM MEDICAL GROUP NY | Doing Business As Name - Organization |
| Street Address |
70 CONSTABLE ST |
| City | MALONE |
| State | NY |
| Zip Code | 12953-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| Find all providers in zip 12953 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770995771 | Susan Beker | Pediatrics | 157 Barlow Dr S, Brooklyn, NY 11234 | 2014-05-24 |
| 1750624995 | Maher Nazih Abadeer | Pediatrics | Ur Medicine Golisano Children's Hospital, 601 Elmwood Ave, Rochester, NY 14642 | 2013-04-05 |
| 1891037578 | Chalese Katche Richardson-olivier | Pediatrics | 1111 Marcus Ave Ste M15, New Hyde Park, NY 11042-1034 | 2013-03-20 |
| 1750637328 | Ankur Bharat Shah | Pediatrics | 14601 45th Ave Ste 302, Flushing, NY 11355-2280 | 2012-07-31 |
| 1669731055 | Ian Hovis | Pediatrics | 208 E 82nd St, Apt 22, New York, NY 10028-2725 | 2012-05-07 |
| 1730447525 | Jess T. Randall | Pediatrics | 319 S. Manning Blvd, Suite 203, Albany, NY 12208 | 2012-04-30 |
| 1780975029 | Jamie K. Harrington | Pediatrics | 3959 Broadway # Chn-2, New York, NY 10032-1559 | 2011-04-20 |
| 1922397421 | Erin Paul | Pediatrics | 3959 Broadway # Chn 2-253, New York, NY 10032-1559 | 2011-04-05 |
| 1386964419 | Amee Shah | Pediatrics | 545 W 110th St, Apt 6f, New York, NY 10025-2015 | 2010-06-11 |
| 1134442999 | Ivan G Dimich | Pediatrics | 201east79thstreetsuite, 20 E, New York, NY 10075-0836 | 2010-03-09 |
| Find all providers with the same taxonomy | ||||
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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.