OrganizationActive
Twin River Urology
NPI 1205941879 · Urology Physician · White River Jct, VT
Provider details
- NPI number
- 1205941879
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathy Detzer, Bus Manager(802) 296-7370
- License
- 8746 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
108 No Main St
Twin River Urology
White River Jct, VT 05001
Phone: (802) 296-7370
Fax: (802) 296-7174
Street-level locationGet directions
Mailing address
108 No Main St
White River Jct, VT 05001
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2007-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.