Unknown Individual – Family Medicine Physician, NPI 1316900145
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
165, Sherman Drive, Saint Johnsbury, Caledonia County, Vermont, 05819, United States
ST JOHNSBURY, VT 058199811
Phone: (802) 748-9405
Fax: (802) 748-4540
Type: Mailing
26, Cedar Lane, Danville, Caledonia County, Vermont, 05828, United States
DANVILLE, VT 058289751
Phone: (802) 684-2275
Fax: (802) 684-3839
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05819)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MT | |
| Family Practice | VT | |
| Physician Assistant | VT | |
| Family Practice | NH | |
| Nurse Practitioner | CA | |
| - | VT | |
| Family Practice | MA | |
| Family Practice, Pediatric Medicine | VT | |
| Physician Assistant | VT | |
| Clinical Social Worker | VT |
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