David A Polson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

033.0124926-INTN Issued in VT

Practice address

21A Essex Way
Essex, VT 05452-3385

Phone

(802) 878-0119

NPI assigned

Sep 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martins Foods of South Burlington LLC

  • Community/Retail Pharmacy
  • Essex Junction, VT
  • NPI 1487762860
  NPD (past)
• Martin'S Foods of South Burlington, LLC

  • Community/Retail Pharmacy
  • Troy, NY
  • NPI 1306574215
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1114409000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21A ESSEX WAY",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21A ESSEX WAY",
            "city": "ESSEX",
            "state": "VT",
            "postal_code": "054523385",
            "telephone_number": "802-878-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSON",
        "first_name": "DAVID",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VT",
            "license": "033.0124926-INTN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essex Urgent & Primary Care Providers PC
• Jocelyn N Hecht Smith, DIABETES EDUCATOR
• Paul Hillen, LICSW
• Donna E. Lemay, LICSW
• New Strokes Counseling, PLC
• RG Psychotherapy LLC
• Ronald J. Smith, PSY.D.
• Trail Makers PLLC
• Karla Alexandra Viteri Blackwell, MS, NCC
• Christopher West, MA

• All providers in Essex, VT
• Student in an Organized Health Care Education/Training Program in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.