Organization Active NPI

Ameriwound Physicians Inc VT

  • General Practice Physician
  • Burlington, VT
National Provider Identifier
1114795028
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240528000939 VT Part B Supplier - Clinic/Group Practice 8325480049 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, VT

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.