GREGORY J MACDONALD MD NPI 1386663094

NPI Information

NPI: 1386663094
Provider Name: GREGORY J MACDONALD, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
130 FISHER RD
MOB- A SUITE 2-1
BERLIN, VT
ZIP 05602
Phone: (802) 225-5660
Get Directions

Gregory J Macdonald, MD is a cardiovascular disease internal medicine in Berlin, VT. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Gregory J Macdonald, MD NPI is 1386663094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

130 FISHER RD
MOB- A SUITE 2-1
BERLIN, VT
ZIP 05602-516
Phone: (802) 225-5660
Fax: (802) 229-2533

The NPI 1386663094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 12/4/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	042.0006170	VERMONT	Yes
2	207RI0011X	Internal Medicine	Interventional Cardiology	420006170	VERMONT	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01125401	OTHER	VERMONT	RAILROAD MEDICARE LINKED TO CVMC MGP
2	060014974	OTHER	VERMONT	RAIL ROAD MEDICARE
3	D03286	MEDICARE UPIN	VERMONT
4	0004794	MEDICAID	VERMONT
5	VT4794	MEDICARE PIN	VERMONT
6	VT479402	MEDICARE PIN	VERMONT

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

NPI Synchronization or Removal

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