- Practice location
- 137 Main St Ste 102, Newport, VT 05855-4415
- Phone
- 802-995-2412
- Fax
- 802-334-7991
- Last updated
- September 26, 2024
Edward Joseph Laverty is a Physician Assistant based in Newport, VT. Edward Joseph Laverty practices in Newport, VT and has the professional credentials of PA. The NPI Number for Edward Joseph Laverty is 1366432478 and holds a License No. 055.0031605 (VT). The current practice location address for Edward Joseph Laverty is 137 Main St Ste 102, Newport, VT 05855-4415 and can be reached out via phone at 802-995-2412 and via fax at 802-334-7991.
Provider Profile Details
- NPI Number
- 1366432478
- Provider Name
- Edward Joseph Laverty
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 137 Main St Ste 102, Newport, VT 05855-4415
- Phone Number
- 802-995-2412
- Fax Number
- 802-334-7991
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 28, 2005
- Last Update Date
- September 26, 2024
- Certification Date
- September 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 137 Main St Ste 102
Newport, VT 05855-4415 - City
- Newport
- State
- Vermont
- Zip
- 05855-4415
- Phone Number
- 802-995-2412
- Fax Number
- 802-334-7991
Provider Business Mailing Address Details
- Address
- 165 Sherman Dr
St Johnsbury, VT 05819-9811 - City
- St Johnsbury
- State
- VT
- Zip
- 05819-9811
- Phone Number
- 802-748-9405
- Fax Number
- 802-748-4540
License Information
- License Number
- 055.0031605
- License State
- VT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edward J Laverty, PA?
The NPI number of Edward J Laverty, PA is 1366432478. It was assigned on October 28, 2005 and is currently active in the NPPES registry.
What is the specialty of Edward J Laverty, PA?
Edward J Laverty, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055.0031605.
Where does Edward J Laverty, PA practice?
The practice location is 137 Main St Ste 102, Newport, VT 05855-4415. The office can be reached at 802-995-2412 (phone) or 802-334-7991 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366432478 directly on the NPPES registry website.