Organization Active NPI

Donald a Majercik, MD, Facs, PC

  • Specialist
  • Essex Junction, VT
National Provider Identifier
1033463591
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042-0004367 Issued in VT
Legal business name
DONALD A MAJERCIK, MD, FACS, PC
Practice address
18 Pearl St
Essex Junction, VT 05452-3605
Phone
(802) 879-6681
Fax
(802) 879-0538
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Dr. Donald A Majercik, MDNPI 1811069644
Title
MD, Facs, PC
Phone
(802) 879-6681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 042-0004367 VT Primary

Addresses

Primary practice location

18 Pearl St
Essex Junction, VT 05452-3605

Mailing address

18 Pearl St
Essex Junction, VT 05452-3605
Phone (802) 879-6681

Other identifiers 1

IdentifierTypeStateIssuer
0005357MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130206000047 VT Part B Supplier - Clinic/Group Practice 5597919225 Receives reassigned benefits from 1 practitioner
Practice locations: Essex Junction, VT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D0692728Donald a Majercik MD18 Pearl Street, Essex Junction, VT 05452Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

18 Pearl St
Essex Junction, VT 05452
Phone (802) 879-6681

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1033463591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PEARL ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523605",
            "telephone_number": "802-879-6681",
            "fax_number": "802-879-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PEARL ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523605",
            "telephone_number": "802-879-6681",
            "fax_number": "802-879-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD A MAJERCIK, MD, FACS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "MAJERCIK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD, FACS, PC",
        "authorized_official_telephone_number": "802-879-6681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VT",
            "license": "042-0004367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005357",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.