Provider Demographics
NPI:1346309473
Name:ORTON, JUDY KAY (MD)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:KAY
Last Name:ORTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-2670
Mailing Address - Country:US
Mailing Address - Phone:802-442-6057
Mailing Address - Fax:802-447-1348
Practice Address - Street 1:901 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-2670
Practice Address - Country:US
Practice Address - Phone:802-442-6057
Practice Address - Fax:802-447-1348
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
26188OtherMVP
VT337-48798OtherBCBS
10017477OtherCDPHP
VT1006759Medicaid
0427959OtherCIGNA