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DR. HENRY SOUTHALL M.D. NPI 1770674137


NPI Information

NPI: 1770674137
Provider Name: DR. HENRY SOUTHALL, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
439 WASHINGTON HWY
MORRISVILLE, VT
ZIP 05661
Phone: (802) 888-5000
Get Directions

DR. Henry Southall, M.D. is a geriatric medicine internal medicine in Morrisville, VT. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Henry Southall, M.D. NPI is 1770674137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

439 WASHINGTON HWY
MORRISVILLE, VT
ZIP 05661-969
Phone: (802) 888-5000
Fax: (802) 888-5060

The enumeration date for this NPI number is 9/28/2006 and was last updated on 12/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease042-0005150VERMONTNo
2207RG0300XInternal MedicineGeriatric Medicine042-0005150VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111V054OTHERVERMONTMVP
2B85460MEDICARE UPINVERMONT
3VT4503MEDICARE ID-TYPE UNSPECIFIEDVERMONT
431V500OTHERVERMONTMVP
54503OTHERVERMONTBC/BS OF VT
60004503MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.