Randall Anselmo (NPI# 1417024936, PAC ID# 4789844317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417024936 |
| PAC ID by PECOS | 4789844317 |
| Professional Enrollment ID | I20120320000071 |
| Full Name | Randall Anselmo |
| Organization Legal Name | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Address |
140 Hospital Dr Bennington VT 05201-5010 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0143138446 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470012 | SOUTHWESTERN VERMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 140 Hospital Dr, Bennington, VT 05201-5010 | SOUTHWESTERN VERMONT MEDICAL CENTER INC | |
| Svmc Gastroenterology, 140 Hospital Drive Suite 104, Bennington, VT 05201-5010 | 8024471536 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Svmc Ob/gyn, 140 Hospital Drive Suite 302, Bennington, VT 05201-5010 | 8024429600 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Svmc Urology, 140 Hospital Drive Suite 100, Bennington, VT 05201-5010 | 8024476253 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| 5957 Main St, Manchester Center, VT 05255-8913 | 8023624440 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Organization Legal Name | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie A Mcgowan | Nurse Practitioner | Southwestern Vermont Medical Center Inc | Svmc Urology, 140 Hospital Drive Suite 100, Bennington, VT 05201-5010 |
| Reija M Rawle | Family Medicine | Southwestern Vermont Medical Center Inc | 7237 Route 7, Pownal, VT 05261-9494 |
| Katherine M Kelleher | Nurse Practitioner | Southwestern Vermont Medical Center Inc | 332 Dewey St, Bennington, VT 05201-2225 |
| Arlene R Law | Nurse Practitioner | Southwestern Vermont Medical Center Inc | 5957 Main St, Manchester Center, VT 05255-8913 |
| Muhammad A Sohail | Gastroenterology | Southwestern Vermont Medical Center Inc | Svmc Gastroenterology, 140 Hospital Drive Suite 104, Bennington, VT 05201-5010 |
| Kimberley J Sampson | Obstetrics/gynecology | Southwestern Vermont Medical Center Inc | 140 Hospital Dr, Suite 314, Bennington, VT 05201-5018 |
| Steven Rucker | Nurse Practitioner | Southwestern Vermont Medical Center Inc | 160 Hospital Dr, Bennington, VT 05201-2279 |
| Michael W Thwing | Pediatric Medicine | Southwestern Vermont Medical Center Inc | Svmc Pediatric Services, Bennington, VT 05201-5015 |
| Themarge A.m. Small | Obstetrics/gynecology | Southwestern Vermont Medical Center Inc | Svmc Ob/gyn, 140 Hospital Drive Suite 302, Bennington, VT 05201-5010 |
| Robert H Tarnas | Family Medicine | Southwestern Vermont Medical Center Inc | Svmc Deerfield Valley Campus, 30 Route 100 South, Bennington, VT 05201 |
| Street Address |
140 HOSPITAL DR |
| City | BENNINGTON |
| State | VT |
| Zip | 05201-5010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley J Sampson | Obstetrics/gynecology | Southwestern Vermont Medical Center Inc | 140 Hospital Dr, Suite 314, Bennington, VT 05201-5018 |
| Erica E. Gallen | Nurse Practitioner | Southwestern Vermont Medical Center Inc | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5010 |
| Scott R Lippacher | Nurse Practitioner | Southwestern Vermont Medical Center Inc | 140 Hospital Dr, Suite 108, Bennington, VT 05201-5010 |
| Natacha Jager | Family Medicine | Southwestern Vermont Medical Center Inc | 140 Hospital Dr, Bennington, VT 05201-5010 |
| Jaclyn D Lozier | Pediatric Medicine | Southwestern Vermont Medical Center Inc | 140 Hospital Dr, Suite 108, Bennington, VT 05201-5010 |
| Khola Qamar | Gastroenterology | Southwestern Vermont Medical Center Inc | 140 Hospital Dr, Suite 307, Bennington, VT 05201-5018 |
| Amy S Kranick | Certified Nurse Midwife (cnm) | Women's View Midwifery | 140 Hospital Dr, Suite 306, Bennington, VT 05201-5018 |
| Keri Noel | Nurse Practitioner | Southwestern Vermont Medical Center Inc | 140 Hospital Dr, Bennington, VT 05201-5010 |
| John J Cope | General Surgery | Southwestern Vermont Medical Center Inc | 140 Hospital Dr, Bennington, VT 05201-5010 |
| David M Gorson | Endocrinology | 140 Hospital Dr, Bennington, VT 05201-2248 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert H Tarnas | Family Medicine | Southwestern Vermont Medical Center Inc | Svmc Deerfield Valley Campus, 30 Route 100 South, Bennington, VT 05201 |
| Nora G Parsons | Clinical Social Worker | 185 N St, Bennington, VT 05201-1813 | |
| Mary Pat Mazzola | Psychologist, Clinical | 185 N St, Bennington, VT 05201-1813 | |
| David J Mellinger | Psychologist, Clinical | 185 N St, Bennington, VT 05201-1813 | |
| Maureen M Mcclintock | Clinical Social Worker | 185 N St, Bennington, VT 05201-1813 | |
| Marjorie C Larowe | Psychologist, Clinical | 160 Benmont Ave, Suite 28, Bennington, VT 05201-1842 | |
| Glen C Mackenzie | Obstetrics/gynecology | 160 Benmont Ave, Suite 22, Bennington, VT 05201-1842 | |
| David S Brown | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Kristen A Munson | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Lisa M Pezzulich | Psychologist, Clinical | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1842 | |
| Find all physicians in zip 05201 | |||
| City | BENNINGTON |
| Zip Code | 05201 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BENNINGTON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.