CHCRR PEDIATRICS
NPI 1780969345
Pediatrics in Rutland, VT

NPI Status: Active since October 14, 2011

Contact Information

1 GENERAL WING RD
RUTLAND, VT
ZIP 05701
Phone: (802) 773-9131
Fax: (802) 773-1551

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 47D0091805
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 07-16-2025

About CHCRR PEDIATRICS

This page provides the complete NPI Profile along with additional information for Chcrr Pediatrics, a pediatrician established in Rutland, Vermont operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1780969345 assigned on October 2011. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Chcrr Pediatrics. The authorized official of this NPI record is Michael Gardner (Finance Director)

NPI
1780969345
Provider Legal Name
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC.
Other Organization Name
CHCRR PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 GENERAL WING RD RUTLAND, VT 05701
Location Phone
(802) 773-9131
Location Fax
(802) 773-1551
Mailing Address
71 ALLEN ST SUITE 101 RUTLAND, VT 05701
Mailing Phone
(800) 468-9118
Mailing Fax
(802) 773-1551
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2011
Last Update Date
01-18-2017
Code Navigator

A pediatrician like Chcrr Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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)
1261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL GARDNER

Authorized Official Title
FINANCE DIRECTOR
Authorized Official Phone
(802) 855-2083

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
0471842MEDICAID (05)VT 
1019786MEDICAID (05)VT 
47-1842MEDICARE PIN (08)VT 
03891774MEDICAID (05)NY 
VN357202MEDICARE PIN (08)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
47D0091805
Facility Type
Federally Qualified Health Center
Certificate Effective Date
July 17, 2023
Certificate Expiration Date
July 16, 2025
Laboratory Director
STEPHEN WOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chcrr Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CHCRR PEDIATRICS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1780969345
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601861838
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 8 + 6 + 1 + 8 + 3 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1780969345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528183225DR. ROBERT A. HESSION M.D.
Individual
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1295075869MR. CHARLES MCEWEN WHEELER III MSN,RN,PNP-BC,CCRN
Individual
Nurse Practitioner (Pediatrics)1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1518082254DR. DAVID I. SCHNEIDER D.O.
Individual
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1124152251 JUDY A. NELSON M.D.
Individual
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1588781660DR. STEPHEN J. WOOD M.D.
Individual
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1659395390 AMY E FERGUSON MD
Individual
Pediatrics1 GENERAL WING RD CHCRR PEDIATRICS
RUTLAND, VT 05701
(802) 773-9131
1912024076DR. INDRA RAY LOVKO M.D.
Individual
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1801096771DR. ALLISON BARBARA ADAMS M.D.
Individual
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1386878148 ANNA MCCLOY MD
Individual
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1295246379 AMY PFENNING PNP
Individual
Nurse Practitioner (Pediatrics)1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1215418363 ALYSSA MAZZARIELLO
Individual
Social Worker1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1780702118PEDIATRIC ASSOCIATES, P.C.
Organization
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 786-2491
1770825937MRS. DELIA MARIE HORN M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1295362077 REBECCA EMILY MERRIFOX MD
Individual
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131
1962573410 EVA MAYER MD
Individual
Pediatrics1 GENERAL WING RD
RUTLAND, VT 05701
(802) 773-9131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780969345, enumerated in the NPI registry as an "organization" on October 14, 2011

The provider is located at 1 General Wing Rd Rutland, Vt 05701 and the phone number is (802) 773-9131

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 47D0091805 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 14, 2011. 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].
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