Richmond Family Medicine Pllc | |
30 W. Main St. Richmond VT 05477 | |
(802) 434-4123 | |
(802) 434-3130 |
Full Name | Richmond Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 30 W. Main St., Richmond, Vermont |
Authorized Official Name and Position | Daniel Millett Goodyear (MD/OWNER) |
Authorized Official Contact | 8025788058 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Richmond Family Medicine Pllc 30 W Main St Richmond VT 05477-4479 Ph: (802) 434-4123 | Richmond Family Medicine Pllc 30 W. Main St. Richmond VT 05477 Ph: (802) 434-4123 |
NPI Number | 1851698112 |
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Provider Enumeration Date | 02/23/2011 |
Last Update Date | 09/05/2019 |
Medicare PECOS PAC ID | 7113199480 |
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Medicare Enrollment ID | O20111010000270 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851698112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Louise M Rosales |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487636288 PECOS PAC ID: 2062594971 Enrollment ID: I20080131000236 |
Provider Name | Daniel M Goodyear |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659491660 PECOS PAC ID: 1052488368 Enrollment ID: I20080927000137 |
Provider Name | Leslie L Langevin |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1487983243 PECOS PAC ID: 2062557549 Enrollment ID: I20100309000224 |
Provider Name | Susan Hannah Rabin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285644450 PECOS PAC ID: 5294865523 Enrollment ID: I20100614000537 |
Provider Name | Joseph G Theriault |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528078896 PECOS PAC ID: 9234269465 Enrollment ID: I20100614000619 |
Provider Name | Susan L Jaynes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144525619 PECOS PAC ID: 9739361643 Enrollment ID: I20110315000209 |
Provider Name | Rachel A Putnam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922332071 PECOS PAC ID: 7113105669 Enrollment ID: I20110705000011 |
Provider Name | Kristy Garbarino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982095048 PECOS PAC ID: 0941528731 Enrollment ID: I20150407000895 |
Provider Name | Courtney C Ledger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932593498 PECOS PAC ID: 4789904285 Enrollment ID: I20150526000169 |
Provider Name | Stephanie M Bless |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558738781 PECOS PAC ID: 7315247822 Enrollment ID: I20151204000656 |
Provider Name | Lauren Bierman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326580440 PECOS PAC ID: 6507140530 Enrollment ID: I20170310001439 |
Provider Name | Robert C Areson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982043030 PECOS PAC ID: 6901029685 Enrollment ID: I20170908002803 |
Provider Name | Deirdre F Howard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255053740 PECOS PAC ID: 3375911522 Enrollment ID: I20221121000834 |