ETHAN ALLEN MEDICAL CENTER
NPI 1659408839
Family Medicine in Colchester, VT

NPI Status: Active since February 27, 2007

Contact Information

28 VERMONT AVE
COLCHESTER, VT
ZIP 05446
Phone: (802) 655-1122
Fax: (802) 655-1124

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  • Organization
  • Family Medicine

About ETHAN ALLEN MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Ethan Allen Medical Center, a primary care provider established in Colchester, Vermont operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1659408839 assigned on February 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 0420002588 (VT). The provider is registered as an organization and their NPI record was last updated 18 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 Ethan Allen Medical Center. The authorized official of this NPI record is Richard D Morrison Md (Owner)

NPI
1659408839
Provider Legal Name
RICHARD D MORRISON
Other Organization Name
ETHAN ALLEN MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
28 VERMONT AVE COLCHESTER, VT 05446
Location Phone
(802) 655-1122
Location Fax
(802) 655-1124
Mailing Address
28 VERMONT AVE COLCHESTER, VT 05446
Mailing Phone
(802) 655-1122
Mailing Fax
(802) 655-1124
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2007
Last Update Date
12-06-2007
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A primary care provider (PCP) like Ethan Allen Medical Center 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 .

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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
License No.
0420002588
License State
VT
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.

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:

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

RICHARD D MORRISON MD

Authorized Official Title
OWNER
Authorized Official Phone
(802) 655-1122

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
1659408839MEDICARE PIN (08)VT 
00004561OTHER (01)VTBLUECROSS
4656001OTHER (01)VTAPEX
BX4049OTHER (01)VTMEDICARE PTAN
C65433MEDICARE UPIN (02)VT 
VT4561OTHER (01)VTMEDICARE LEGACY
0004561MEDICAID (05)VT 

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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.
1659408839
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26109801686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 8 + 0 + 1 + 6 + 8 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1659408839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659408839, enumerated as an "organization" on February 27, 2007.

The provider is located at 28 VERMONT AVE COLCHESTER, VT 05446 and the phone number is (802) 655-1122.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.