Champlain Medical Associates PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHAMPLAIN MEDICAL ASSOCIATES PLLC

Practice address

150 Kennedy Dr
S Burlington, VT 05403-6749

Phone

(802) 448-9370

Fax

(802) 448-1414

NPI assigned

Apr 8, 2012

Last updated

Jan 31, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Beth SchillerNPI 1396141966

Title

Partner

Phone

(518) 963-4355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beth Schiller, AGNP

  • Adult Health Nurse Practitioner
  • S Burlington, VT
  • NPI 1396141966
  Medicare reassignment Care Compare group NPD Authorized official
• Jonathon Cahoon, PA-C

  • Physician Assistant
  • South Burlington, VT
  • NPI 1417768748
  Medicare reassignment Care Compare group
• Aisha Hussain, PA

  • Physician Assistant
  • Berlin, VT
  • NPI 1720458912
  Medicare reassignment Care Compare group
• Lianna Ruth Percy, PA-C

  • Medical Physician Assistant
  • Burlington, VT
  • NPI 1104947308
  Medicare reassignment Care Compare group
• Alexis Brooke Saaman, PA-C

  • Physician Assistant
  • South Burlington, VT
  • NPI 1821722752
  Medicare reassignment Care Compare group
• Spencer L. Blackman, MD

  • Family Medicine Physician
  • Burlington, VT
  • NPI 1205914884
  Medicare reassignment NPD
• Courtneyanne Randall, PA-C

  • Physician Assistant
  • South Burlington, VT
  • NPI 1225643547
  Medicare reassignment
• Molly G Somaini, PA-C

  • Physician Assistant
  • South Burlington, VT
  • NPI 1396977179
  Medicare reassignment
• Jessica Rennie Alexander, PHYSICAL THERAPIST

  • Physical Therapist
  • South Burlington, VT
  • NPI 1366485666
  NPD
• Julie D. Eschholz, PT

  • Physical Therapist
  • Colchester, VT
  • NPI 1114049509
  NPD
• Andrea Lemnah, P.T.

  • Physical Therapist
  • Essex JCT, VT
  • NPI 1023430295
  NPD
• Candace Bennett, DPT

  • Physical Therapist
  • South Burlington, VT
  • NPI 1972776417
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1013273697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "054036749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "054036749",
            "telephone_number": "802-448-9370",
            "fax_number": "802-448-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-08",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "SCHILLER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "518-963-4355"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina L Bleau, M.A.
• Bruce A Brown, M.S.W.
• Stephanie A. Burch, PA-C
• Douglas M. Campbell, MD
• Cara M. Capparelli, M.A.
• Sara T. Child, PA-C
• Stewart Leslie Cohen, L.AC.
• Cole Vision Corporation (Sears Optical #C1040)
• Dana Lukens Dabransky, N.D.
• David Huesman Inc

• Family Medicine Physician in S Burlington, VT
• Providers in S Burlington, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.