Organization Active NPI

Associates in Internal Medicine, Inc.

  • Gastroenterology Physician
  • Rutland, VT
National Provider Identifier
1083637946
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
042-0004441 Issued in VT
Legal business name
ASSOCIATES IN INTERNAL MEDICINE, INC.
Practice address
254 Stratton Rd
Suite 2
Rutland, VT 05701-4675
Phone
(802) 775-5531
Fax
(802) 773-4697
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Howard A Weaver, M.D.
Title
Physician
Phone
(802) 775-5531

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 042-0004441 VT
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 042-0004441 VT Primary

Addresses

Primary practice location

254 Stratton Rd
Suite 2
Rutland, VT 05701-4675

Mailing address

254 Stratton Rd
Suite 2
Rutland, VT 05701-4675
Phone (802) 775-5531

Other identifiers 2

IdentifierTypeStateIssuer
4373OtherVTBCBS
0004373MedicaidVT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1083637946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 STRATTON RD",
            "address_2": "SUITE 2",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014675",
            "telephone_number": "802-775-5531",
            "fax_number": "802-773-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 STRATTON RD",
            "address_2": "SUITE 2",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014675",
            "telephone_number": "802-775-5531",
            "fax_number": "802-773-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "802-775-5531",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0004441",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VT",
            "license": "042-0004441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4373",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004373",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.