Kristan M Outwater
MD | Pediatrics | Female
Kristan M Outwater, MD is a Brattleboro, Vermont based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kristan M Outwater is
21 Belmont Ave, Brattleboro, Vermont - 05301-7110. She can be contacted on phone at
802-258-3905 and fax number 802-258-4903.
Kristan M Outwater is a sole proprietor of her business.
NPI number (Unique professional ID) for Kristan M Outwater is
1306952890 which was assigned by NPPES on 21 Aug, 2006 and it was last updated on 22 Mar, 2021.
Kristan M Outwater license number is
042-0012623 for Pediatrics (208000000X) in Vermont.
Kristan M Outwater is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kristan M Outwater basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Kristan M Outwater |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Kristan M Outwater address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 21 Belmont Ave
Brattleboro, VT, 05301-7110
United States |
|---|
| Phone Number : | 802-258-3905 |
|---|
| Fax Number : | 802-258-4903 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1306952890 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 21 Aug, 2006 |
|---|
| Last Updated On : | 22 Mar, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristan M Outwater are as mentioned. Primary taxonomy code for Kristan M Outwater, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 4301064412 | MI |
| 208000000X | Pediatrics | Yes | 042-0012623 | VT |
Legacy Identifiers:
Other legacy medical identifiers of Kristan M Outwater such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3067291 | MEDICAID | MI | |
| 71020000730099 | Other | MI | BCBS OF MI |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | droutwater@pchpmd.medentdirect.com
| No affiliation | DIRECT
Direct
| CSV
CSV
| 21 BELMONT AVE,
BRATTLEBORO, VT, 05301-7110
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 66 Knight Ln Ste 10
Williston, VT, 05495-9308
United States |
|---|
| Phone Number : | 802-872-4343 |
|---|
| Fax Number : | 802-288-1144 |
|---|
Business Location:
Patients can refer following map for directions to
Kristan M Outwater practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.