| Newport Pediatrics & Adolescent Medicine Pllc | |
|
121 Medical Village Drive Newport VT 05855 | |
| (802) 334-6929 | |
| (802) 784-1051 |
| Full Name | Newport Pediatrics & Adolescent Medicine Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 121 Medical Village Drive, Newport, Vermont |
| Authorized Official Name and Position | Thomas Ae Moseley (OWNER) |
| Authorized Official Contact | 8023345929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Pediatrics & Adolescent Medicine Pllc 121 Medical Village Drive Newport VT 05855 Ph: (802) 334-6929 | Newport Pediatrics & Adolescent Medicine Pllc 121 Medical Village Drive Newport VT 05855 Ph: (802) 334-6929 |
| NPI Number | 1366515249 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 03/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366515249 | NPI | - | NPPES |
| 0473814 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1010022369 (Vermont) | Secondary |
| 208000000X | Pediatrics | 420006774 (Vermont) | Primary |
| 208000000X | Pediatrics | 0420010849 (Vermont) | Secondary |
Northern Counties Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 137 Main St Ste 102, Newport, VT 05855 Phone: 802-995-2412 | |
Mdf Geriatric Healthcare Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 46 Lakemont Rd, Newport, VT 05855 Phone: 802-673-4916 | |
Denise A. Niemira, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5452 Us Route 5, Ste. D, Newport, VT 05855 Phone: 802-334-6140 Fax: 802-334-8271 | |
Inpatient Services Of Vermont Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 Prouty Dr, Newport, VT 05855 Phone: 973-251-1132 | |
Blue Spruce Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 E Main St, Newport, VT 05855 Phone: 802-500-6923 | |
Northeast Vision Center, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5452 Us Route 5, Ste H, Newport, VT 05855 Phone: 802-334-1515 Fax: 802-334-2935 |