Active NPI
Ameriwound Physicians Inc VT
- General Practice Physician
- Burlington, VT
National Provider Identifier
1114795028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- AMERIWOUND PHYSICIANS INC VT
- Practice address
- 98 Starr Farm Rd
Burlington, VT 05408-1323 - Phone
- (802) 658-6717
- NPI assigned
- Dec 20, 2023
- Last updated
- Feb 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samson Fixler
- Title
- Secretary
- Phone
- (216) 273-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
98 Starr Farm Rd
Burlington, VT 05408-1323
Mailing address
6150 Parkland Blvd Ste 225
Mayfield Heights, OH 44124-4103
Phone (216) 273-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1114795028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6150 PARKLAND BLVD STE 225",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441244103",
"telephone_number": "216-273-9800",
"fax_number": "216-273-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 STARR FARM RD",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054081323",
"telephone_number": "802-658-6717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIWOUND PHYSICIANS INC VT",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "FIXLER",
"authorized_official_first_name": "SAMSON",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "216-273-9800"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.