PEDIATRIC ASSOCIATES P.C. NPI 1780702118

NPI Information

  • NPI: 1780702118
  • Provider Name: PEDIATRIC ASSOCIATES, P.C.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 1 GENERAL WING RD
    RUTLAND, VT
    ZIP 05701
  • Phone: (802) 786-2491

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NPI Details

PEDIATRIC ASSOCIATES, P.C. is a pediatrics in Rutland, 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. PEDIATRIC ASSOCIATES, P.C. NPI is 1780702118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 GENERAL WING RD
RUTLAND, VT
ZIP 05701-681
Phone: (802) 786-2491
Fax: (802) 775-6141

The provider's authorized official is Carol E. Perkins .
The authorized official title is Office Manager and has the following contact phone number (802) 786-2491.

The enumeration date for this NPI number is 3/26/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics0420008063VERMONTYes

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
16105OTHERVERMONTVT BLUE CROSS BLUE SHIELD
2372101MEDICAIDNEW YORK
31737OTHERCDPHP
40006105MEDICAIDVERMONT

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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