Newport Pediatrics & Adolescent Medicine Pllc

LBN: Thomas Ae Moseley
Newport Pediatrics & Adolescent Medicine Pllc is an health care organization with primary practice located at 121 Medical Village Drive , Newport VT 05855. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Thomas Ae Moseley can be contacted via phone (802) 334-6929, or through Moseley, Thomas Ae via phone (802) 334-5929.

Contact Information

Primary practice address
121 Medical Village Drive Newport VT 05855
Phone: (802) 334-6929
Fax: (802) 784-1051
Website:
Map and Directions
Authorized official contact:
Name: Moseley, Thomas Ae Doctor of Medicine (MD)
Phone: (802) 334-5929

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1010022369 Vermont
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 420006774 Vermont
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0420010849 Vermont

Profile Details

NPI number 1366515249
LBN Legal business name Thomas Ae Moseley
DBA Doing business as Newport Pediatrics & Adolescent Medicine Pllc
Authorized official Moseley, Thomas Ae Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Mar 14th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366515249 NPPES
Vermont MEDICAID 0473814

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