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TWIN RIVER UROLOGY
NPI 1205941879
Urology in White River Jct, VT

Active since August 21, 2006
108 NO MAIN ST, TWIN RIVER UROLOGY, WHITE RIVER JCT, VT 05001(802) 296-7370(802) 296-7174 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Twin River Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TWIN RIVER UROLOGY (NPI 1205941879) is a healthcare organization registered as an urology in White River Jct, Vermont and active in the NPI registry since August 2006. The organization lists Kathy L Detzer, Bus Manager, as its authorized official.

NPPES Registry Identity

NPI1205941879
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameTWIN RIVER UROLOGY
Location Address108 NO MAIN ST, TWIN RIVER UROLOGYWhite River Jct, VT 05001
Mailing Address108 No Main St, Twin River UrologyWhite River Jct, VT 05001 · (802) 296-7370 · Fax (802) 296-7174
Phone(802) 296-7370
Fax(802) 296-7174
Organization SubpartNo
Authorized OfficialKathy L DetzerBus Manager · (802) 296-7370
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 17, 2007
✔ NPI 1205941879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in VT · 0420008456✔ Licensed in NH · 8746
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

108 NO MAIN ST, White River Jct, VT 05001
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Other Identifiers 3

Other0000301VT · Medicare Group
Medicare UPINF48766
MedicaidOVN0573VT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Twin River Urology's NPI number?

The NPI number for Twin River Urology is 1205941879. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Twin River Urology located?

Twin River Urology is located at 108 No Main St Twin River Urology, White River Jct, VT 05001. The listed phone number is (802) 296-7370.

What is Twin River Urology's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Twin River Urology was last updated on July 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.