NORTHWESTERN PEDIATRICS
NPI 1033584628
Pediatrics in Swanton, VT

NPI Status: Active since December 08, 2015

Contact Information

100 THUNDERBIRD DR
SWANTON, VT
ZIP 05488
Phone: (802) 527-8189
Fax: (802) 527-8187

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  • Organization
  • Pediatrics
  • CLIA Number: 47D0091453
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 12-31-2026

About NORTHWESTERN PEDIATRICS

This page provides the complete NPI Profile along with additional information for Northwestern Pediatrics, a pediatrician established in Swanton, Vermont operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1033584628 assigned on December 2015. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 10 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 Northwestern Pediatrics. The authorized official of this NPI record is Mary Pigeon (Credentialing Specialist)

NPI
1033584628
Provider Legal Name
NORTHWESTERN MEDICAL CENTER, INC.
Other Organization Name
NORTHWESTERN PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 THUNDERBIRD DR SWANTON, VT 05488
Location Phone
(802) 527-8189
Location Fax
(802) 527-8187
Mailing Address
133 FAIRFIELD ST SAINT ALBANS, VT 05478
Mailing Phone
(802) 524-5911
Mailing Fax
(802) 527-8187
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2015
Last Update Date
12-08-2015
Code Navigator

A pediatrician like Northwestern 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.

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.

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

MARY PIGEON

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(802) 524-8954

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
47D0091453
Facility Type
Hospital
Certificate Effective Date
January 01, 2025
Certificate Expiration Date
December 31, 2026
Laboratory Director
JOHN P. MINADEO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Northwestern Pediatrics in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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.
1033584628
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063108864
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 0 + 8 + 8 + 6 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1033584628 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

THE RICHFORD HEALTH CENTER INC

Dentist

(General Practice)

100 THUNDERBIRD DR
BLGD DENTAL
SWANTON, VT
ZIP 05488

(802) 255-5580

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033584628, enumerated as an "organization" on December 08, 2015.

The provider is located at 100 THUNDERBIRD DR SWANTON, VT 05488 and the phone number is (802) 527-8189.

Pediatrics with taxonomy code 208000000X.