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MAD RIVER INTERNAL MEDICINE
NPI 1730148966
Specialist in Waitsfield, VT

Active since March 17, 2006
5360 MAIN ST, STE. 2, WAITSFIELD, VT 05673(802) 496-2202(802) 496-2223 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mad River Internal Medicine NPPES

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

MAD RIVER INTERNAL MEDICINE (NPI 1730148966) is a healthcare organization registered as a specialist in Waitsfield, Vermont and active in the NPI registry since March 2006. The organization lists Timothy J Wargo, Partner, as its authorized official.

NPPES Registry Identity

NPI1730148966
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMAD RIVER INTERNAL MEDICINE
Location Address5360 MAIN ST, STE. 2Waitsfield, VT 05673-6003
Mailing Address5360 Main St, Ste. 2Waitsfield, VT 05673-6003 · (802) 496-2202 · Fax (802) 496-2223
Phone(802) 496-2202
Fax(802) 496-2223
Organization SubpartNo
Authorized OfficialTimothy J WargoPartner · (802) 496-2202
Enumeration DateMarch 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730148966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5360 MAIN ST, Waitsfield, VT 05673
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Other Identifiers 1

Medicaid1012198VT

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAD RIVER INTEGRATIVE MEDICINE
Clinic/Center (Primary Care)
5360 MAIN ST, STE 2
WAITSFIELD, VT 05673
Washington County (802) 496-2202
MAD RIVER INTEGRATIVE MEDICINE
Family Medicine
5360 MAIN ST, SUITE 2
WAITSFIELD, VT 05673
Washington County (802) 496-2202

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 Mad River Internal Medicine's NPI number?

The NPI number for Mad River Internal Medicine is 1730148966. It was assigned to this organization in the NPPES registry on March 17, 2006.

Where is Mad River Internal Medicine located?

Mad River Internal Medicine is located at 5360 Main St Ste. 2, Waitsfield, VT 05673. The listed phone number is (802) 496-2202.

What is Mad River Internal Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mad River Internal Medicine was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.