Active NPI
Donald a Majercik, MD, Facs, PC
- Specialist
- Essex Junction, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 042-0004367
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald A Majercik, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005357 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D0692728 | Donald a Majercik MD | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.