MIDDLEBURY FAMILY HEALTH
NPI 1932159142
Health Maintenance Organization in Middlebury, VT
NPI Status: Active since May 10, 2006
Contact Information
1330 EXCHANGE ST STE 201
MIDDLEBURY, VT
ZIP 05753
Phone: (802) 388-1500
Fax: (802) 388-0441
- Organization
- Health Maintenance Organization
- Accepts Insurance
About MIDDLEBURY FAMILY HEALTH
This page provides the complete NPI Profile along with additional information for Middlebury Family Health, a provider established in Middlebury, Vermont operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1932159142 assigned on May 2006. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Stacy Lynn Ladd (Practice Administrator)
- NPI
- 1932159142
- Provider Name
- MIDDLEBURY FAMILY HEALTH
- Entity Type
- Organization
- Location Address
- 1330 EXCHANGE ST STE 201 MIDDLEBURY, VT 05753
- Location Phone
- (802) 388-1500
- Location Fax
- (802) 388-0441
- Mailing Address
- 1330 EXCHANGE ST STE 201 MIDDLEBURY, VT 05753
- Mailing Phone
- (802) 388-1500
- Mailing Fax
- (802) 388-0441
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-10-2006
- Last Update Date
- 10-14-2020
- Code Navigator
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
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MIDDLEBURY FAMILY HEALTH
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. | |||||||||
| 1 | 9 | 3 | 2 | 1 | 5 | 9 | 1 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 2 | 5 | 18 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 2 + 5 + 1 + 8 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1932159142 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003857756 | LAURA MURPHY M.D. Individual | Pediatrics | 1330 EXCHANGE ST STE 201 MIDDLEBURY, VT 05753 (802) 388-7959 |
| 1679551071 | EILEEN DOHERTY FULLER MD Individual | Family Medicine | 1330 EXCHANGE ST STE 201 MIDDLEBURY, VT 05753 (802) 388-1500 |
| 1518127224 | PETER C WILHELM MD Individual | Family Medicine | 1330 EXCHANGE ST STE 201 MIDDLEBURY, VT 05753 (802) 388-1500 |
| 1912301193 | LENA WASMUS APRN Individual | Nurse Practitioner (Family) | 1330 EXCHANGE ST STE 201 MIDDLEBURY, VT 05753 (802) 855-2027 |
| 1154681013 | KATIE CASAS MILLER M.D. Individual | Internal Medicine | 1330 EXCHANGE ST STE 201 MIDDLEBURY, VT 05753 (802) 388-1500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932159142, enumerated in the NPI registry as an "organization" on May 10, 2006
The provider is located at 1330 Exchange St Ste 201 Middlebury, Vt 05753 and the phone number is (802) 388-1500
This medical organization specializes in Health Maintenance Organization with taxonomy code 302R00000X
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.
This NPI record was last updated on May 10, 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.