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NORTHWESTERN MEDICAL CENTER INC. NPI 1003118563


NPI Information

NPI: 1003118563
Provider Name: NORTHWESTERN MEDICAL CENTER, INC.

Doing Business As: NORTHWESTERN ASSOCIATES IN SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 47D2019165

Address:
1 CREST RD
SUITE B
SAINT ALBANS, VT
ZIP 05478
Phone: (802) 524-8974
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NORTHWESTERN MEDICAL CENTER, INC. is a surgery in Saint Albans, VT. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NORTHWESTERN MEDICAL CENTER, INC. NPI is 1003118563. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northwestern Associates In Surgery.

The provider's business location address is:

1 CREST RD
SUITE B
SAINT ALBANS, VT
ZIP 05478-753
Phone: (802) 524-8974
Fax: (802) 524-8970

The provider's authorized official is Mary Pigeon .
The authorized official title is Credentialing Specialist and has the following contact phone number (802) 524-8954.

The CLIA number assigned to this NPI record is 47D2019165 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2010 and was last updated on 10/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11018505MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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