Provider Type Icon

GREEN MOUNTAIN PEDIATRICS PC NPI 1073617783


NPI Information

NPI: 1073617783
Provider Name: GREEN MOUNTAIN PEDIATRICS PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
901 MAIN STREET
SUITE 1
BENNINGTON, VT
ZIP 05201
Phone: (802) 442-6057
Get Directions

GREEN MOUNTAIN PEDIATRICS PC is a pediatrics in Bennington, VT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GREEN MOUNTAIN PEDIATRICS PC NPI is 1073617783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 MAIN STREET
SUITE 1
BENNINGTON, VT
ZIP 05201
Phone: (802) 442-6057
Fax: (802) 447-1348

The provider's authorized official is Judy K Orton .
The authorized official title is President Director and has the following contact phone number (802) 442-6057.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsVERMONTYes

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
10427959OTHERCIGNA
210017477OTHERCDPHP
326188OTHERMVP
433748798OTHERVERMONTBCBS
51006759MEDICAIDVERMONT

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.