Victor J Pisanelli Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

42-0005978 Issued in VT

Practice address

241 Stratton Rd
Rutland, VT 05701-4621

Phone

(802) 775-1903

NPI assigned

Jul 16, 2006

Last updated

May 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1104843077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014560",
            "telephone_number": "802-775-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014621",
            "telephone_number": "802-775-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANELLI",
        "first_name": "VICTOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "42-0005978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004711",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Wolfe Pierce
• Michael Pierce
• Anna Pietryka, BSN-RN
• Michele Denise Pilz, LCHMC
• Pisanelli Surgical Associates, Inc.
• Planned Parenthood of Northern New England
• Laurel Barkell Plante, M.D.
• Alexis Ann Plattner, PHARM D.
• Plume Health PC
• Tess Helen Pollinger, D.O,

• Surgery Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Surgery Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.