Active NPI
University of Vermont Medical Center Inc
- Hematology (Internal Medicine) Physician
- Burlington, VT
National Provider Identifier
1083904213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- 748
- Legal business name
- UNIVERSITY OF VERMONT MEDICAL CENTER INC
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-0000
- NPI assigned
- Apr 8, 2011
- Last updated
- Nov 12, 2014
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY OF VERMONT MEDICAL CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Vincent
- Title
- Cfo
- Phone
- (802) 847-5911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 748 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
PO Box 1063
Burlington, VT 05402-1063
Phone (802) 847-1882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019123 | Medicaid | VT |
Other names 1
- UVM MEDICAL CENTER
National Provider Directory
National Provider Directory- Part of
- Janis M Peyser PHD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415750400000",
"number": "1083904213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1063",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054021063",
"telephone_number": "802-847-1882",
"fax_number": "802-847-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF VERMONT MEDICAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY OF VERMONT MEDICAL CENTER INC",
"enumeration_date": "2011-04-08",
"last_updated": "2014-11-12",
"status": "A",
"authorized_official_last_name": "VINCENT",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "802-847-5911",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "VT",
"license": "748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019123",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UVM MEDICAL CENTER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Burlington, VT
- University of Vermont and State Agricultural College (Eleanor M. Luse Center)
- University of Vermont and State Agricultural College (UVM Rescue)
- University of Vermont and State Agricultural College (Eleanor M. Luse Center)
- University of Vermont Health Network Specialty Care Transport, LLC (Uvm Health Net Transport)
- University of Vermont Medical Center
- University of Vermont Medical Center Inc (Uvm Medical Center)
- University of Vermont Medical Center Inc (UVM Medical Center Outpatient Pharmacy)
- University of Vermont Medical Center Inc
- University of Vermont Medical Center Inc
- University of Vermont Medical Center Inc (Uvm Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.