Basic Information
| Provider Information | |||||||||
| NPI: | 1528183225 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HESSION | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 GENERAL WING RD | ||||||||
| Address2: | |||||||||
| City: | RUTLAND | ||||||||
| State: | VT | ||||||||
| PostalCode: | 057014681 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8027739131 | ||||||||
| FaxNumber: | 8027756141 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 GENERAL WING RD | ||||||||
| Address2: | |||||||||
| City: | RUTLAND | ||||||||
| State: | VT | ||||||||
| PostalCode: | 057014681 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8027739131 | ||||||||
| FaxNumber: | 8027756141 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 0420005314 | VT | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 286233 | 01 | NH | CIGNA NH | OTHER | 0004766 | 05 | VT | MEDICAID | 00368598 | 05 | NY | MEDICAID | 4766 | 01 | VT | VT BLUE CROSS BLUE SHIELD | OTHER | 0039886-001 | 01 | CIGNA | OTHER | 10002611 | 01 | CDPHP | OTHER | 26192 | 01 | MVP (MOHAWK VALLEY HP) | OTHER |