Champlain Imaging

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CHAMPLAIN IMAGING

Practice address

133 Fairfield St
Saint Albans, VT 05478-1726

Phone

(800) 927-0002

Fax

(603) 893-8886

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Olga Lopatina, MD

Title

Owner

Phone

(802) 524-1209

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Champlain Imaging, PLLC Doing business as

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1013274745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8002",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030798002",
            "telephone_number": "800-927-0002",
            "fax_number": "603-893-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FAIRFIELD ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781726",
            "telephone_number": "800-927-0002",
            "fax_number": "603-893-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "LOPATINA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-524-1209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102151",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champlain Imaging, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CCK Holdings, LLC
• Amy Marie Centabar, PT
• Madeline Patricia Cervini, PT
• Wendy S. Chace, M. S., CCC-SLP
• Veronica Chalifoux
• Champlain Valley Internal Medicine
• Rebecca Chaplin
• Jenyca Chapman
• Molly Charette
• Deana L Chase, LICSW

• All providers in Saint Albans, VT
• Diagnostic Radiology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.