Active NPI
Peter M Thomashow, MD
- Psychiatry Physician
- Berlin, VT
National Provider Identifier
1114026614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042-0010046
- Practice address
- 130 Fisher Rd
Central Vermont Medical Center
Berlin, VT 05602 - Phone
- (802) 371-4316
- Fax
- (802) 371-4579
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042-0010046 | VT | Primary |
Addresses
Primary practice location
130 Fisher Rd
Central Vermont Medical Center
Berlin, VT 05602
Mailing address
PO Box 547
Att: Finance Dept
Barre, VT 05641-0547
Phone (802) 371-4316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VN229701 | Other | VT | MEDICARE PTAN LINKED TO CVMC |
| OVN2297 | Medicaid | VT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0010046 | VT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1114026614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"address_2": "ATT: FINANCE DEPT",
"city": "BARRE",
"state": "VT",
"postal_code": "056410547",
"telephone_number": "802-371-4316",
"fax_number": "802-371-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 FISHER RD",
"address_2": "CENTRAL VERMONT MEDICAL CENTER",
"city": "BERLIN",
"state": "VT",
"postal_code": "05602",
"telephone_number": "802-371-4316",
"fax_number": "802-371-4579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASHOW",
"first_name": "PETER",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042-0010046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN LINKED TO CVMC",
"identifier": "VN229701",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN2297",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.