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PORTER HOSPITAL INC NPI 1538189865


NPI Information

NPI: 1538189865
Provider Name: PORTER HOSPITAL INC

Doing Business As: PORTER HOSPITAL INC DBA MIDDLEBURY PEDIATRIC AND ADOLESCENT MEDICINE

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1330 EXCHANGE ST
MIDDLEBURY PEDIATRIC AND ADOLESCENT AND MEDICINE
MIDDLEBURY, VT
ZIP 05753
Phone: (802) 388-7959
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PORTER HOSPITAL INC is an adolescent medicine pediatrics in Middlebury, VT. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PORTER HOSPITAL INC NPI is 1538189865. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Porter Hospital Inc Dba Middlebury Pediatric And Adolescent Medicine.

The provider's business location address is:

1330 EXCHANGE ST
MIDDLEBURY PEDIATRIC AND ADOLESCENT AND MEDICINE
MIDDLEBURY, VT
ZIP 05753-464
Phone: (802) 388-7959
Fax: (802) 388-3380

The provider's authorized official is Steve Ciampa .
The authorized official title is Cfo and has the following contact phone number (802) 388-4752.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 7/25/2013.


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
1208000000XPediatricsNo
22080A0000XPediatricsAdolescent MedicineYes

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
1VN3932MEDICARE ID-TYPE UNSPECIFIED
21006356MEDICAIDVERMONT

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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