GREEN MOUNTAIN UROLOGY INC NPI 1730160532

NPI Information

  • NPI: 1730160532
  • Provider Name: GREEN MOUNTAIN UROLOGY INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 792 COLLEGE PKWY
    SUITE302
    COLCHESTER, VT
    ZIP 05446
  • Phone: (802) 655-4900

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NPI Details

GREEN MOUNTAIN UROLOGY INC is an urology in Colchester, VT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. GREEN MOUNTAIN UROLOGY INC NPI is 1730160532. The provider is registered as an organization entity type.

The provider's business location address is:

792 COLLEGE PKWY
SUITE302
COLCHESTER, VT
ZIP 05446-052
Phone: (802) 655-4900
Fax: (802) 655-5017

The provider's authorized official is Richard T Grunert .
The authorized official title is President and has the following contact phone number (802) 655-4900.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 2/25/2010.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2208800000XUrologyYes

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
10VN0583MEDICAIDVERMONT
25704140001MEDICARE NSCVERMONT
3VN0583MEDICARE PINVERMONT

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: 11/21/2025

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