CENTRAL VERMONT MEDICAL CENTER INC
NPI 1023028784
Family Medicine in Berlin, VT
NPI Status: Active since August 08, 2006
Contact Information
130 FISHER RD
BERLIN, VT
ZIP 05602
Phone: (802) 371-4100
Fax: (802) 371-4488
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 47D0091573
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About CENTRAL VERMONT MEDICAL CENTER INC
This page provides the complete NPI Profile along with additional information for Central Vermont Medical Center Inc, a primary care provider established in Berlin, Vermont operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1023028784 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Central Vermont Medical Center Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Cheyenne Holland (Cfo)
- NPI
- 1023028784
- Provider Name
- CENTRAL VERMONT MEDICAL CENTER INC
- Entity Type
- Organization
- Location Address
- 130 FISHER RD BERLIN, VT 05602
- Location Phone
- (802) 371-4100
- Location Fax
- (802) 371-4488
- Mailing Address
- PO BOX 547 BARRE, VT 05641
- Mailing Phone
- (802) 371-4100
- Mailing Fax
- (802) 371-4488
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-08-2006
- Last Update Date
- 02-16-2024
- Code Navigator
A primary care provider (PCP) like Central Vermont Medical Center Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 762 (VT) |
| 3 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | 762 (VT) |
| 4 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 6 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 7 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 8 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (VT) |
| 9 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 10 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 11 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 12 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 13 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| OVN3891 | MEDICAID (05) | VT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 47D0091573
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. JASON BRAZELTON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Central Vermont Medical Center Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 0 | 2 | 8 | 7 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 0 | 2 | 16 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 0 + 2 + 1 + 6 + 7 + 1 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1023028784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306800081 | MARIE L ZAGROBA M.D. Individual | Anesthesiology | 130 FISHER RD CENTRAL VT MEDICAL CENTER BERLIN, VT 05602 (802) 371-4257 |
| 1831155324 | CHRISTIAN H.G. BEAN M.D. Individual | Orthopaedic Surgery | 130 FISHER RD BUILDING A, SUITE 2-2 BERLIN, VT 05602 (802) 229-2663 |
| 1023048485 | DR. RICHARD GERALD TAYLOR M.D. Individual | Emergency Medicine | 130 FISHER RD CENTRAL VERMONT MEDICAL CENTER - EMERGENCY MEDICINE BARRE, VT 05602 (802) 371-4100 |
| 1629093554 | MARTIN P BAK MD Individual | Internal Medicine | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1366467854 | NANCY CHICKERING MD Individual | Emergency Medicine | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1871519942 | JANUSZ W POROWSKI MD Individual | Emergency Medicine | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1265458848 | ROBERT J RIGGEN MD Individual | Emergency Medicine | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1396764635 | PHILIP A BROWN DO Individual | Emergency Medicine | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1417976887 | KENNETH ELLIOT ADLER MD Individual | Psychiatry & Neurology (Psychiatry) | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1235158569 | WILLIAM BOND BURTON PA Individual | Physician Assistant (Medical) | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1972522761 | PAUL G GILL JR. MD Individual | Emergency Medicine | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1639198492 | PATRICIA M GAVULA PA Individual | Physician Assistant | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1174543888 | SCOTT ALAN SMALL PA-C Individual | Physician Assistant (Surgical) | 130 FISHER RD BLD. A, SUITE 2-2 BERLIN, VT 05602 (802) 229-2663 |
| 1699794875 | CHRISTOPHER J ROHAN M.D. Individual | Anesthesiology | 130 FISHER RD CENTRAL VERMONT MEDICAL CENTER BERLIN, VT 05602 (802) 371-4257 |
| 1114946399 | CENTRAL VERMONT CARDIOLOGY ASSOCIATES INC. Organization | Internal Medicine (Interventional Cardiology) | 130 FISHER RD SUITE 2-1 BERLIN, VT 05602 (802) 229-9524 |
| 1720007800 | ELKE PINN M.D. Individual | Anesthesiology | 130 FISHER RD CENTRAL VERMONT MEDICAL CENTER BERLIN, VT 05602 (802) 371-4257 |
| 1225057300 | RICHARD BRADFORD WATSON M.D. Individual | Anesthesiology | 130 FISHER RD CENTRAL VERMONT MEDICAL CENTER BERLIN, VT 05602 (802) 371-4257 |
| 1437179074 | DANIEL WILSON DO Individual | Emergency Medicine | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1164442521 | STUART FRIEDMAN LICSW Individual | Social Worker | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
| 1780606376 | MATTHEW ALEXANDER COLLINS MD Individual | Emergency Medicine | 130 FISHER RD BERLIN, VT 05602 (802) 371-4100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023028784, enumerated in the NPI registry as an "organization" on August 08, 2006
The provider is located at 130 Fisher Rd Berlin, Vt 05602 and the phone number is (802) 371-4100
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Florida Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 47D0091573 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.