Individual provider Active NPI

Carol Anne Vassar, MD

  • Internal Medicine Physician
  • Montpelier, VT
National Provider Identifier
1083627426
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7745 Issued in VT
Practice address
150 Main St
Montpelier, VT 05602-2913
Phone
(802) 223-1766
Fax
(802) 223-1767
NPI assigned
Aug 15, 2006
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7745 VT Primary

Addresses

Primary practice location

150 Main St
Montpelier, VT 05602-2913

Mailing address

150 Main St
Montpelier, VT 05602-2913
Phone (802) 223-1766

Other identifiers 1

IdentifierTypeStateIssuer
0009549MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7745VTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1083627426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022913",
            "telephone_number": "802-223-1766",
            "fax_number": "802-223-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022913",
            "telephone_number": "802-223-1766",
            "fax_number": "802-223-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSAR",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "7745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009549",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.