Lizabeth Jane Pontzer, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042-0011261 Issued in VT

Practice address

366 Dorset St
Suite 10, Stone House Associates
South Burlington, VT 05403-6209

Phone

(802) 654-7607

Fax

(802) 654-9155

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1154483345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 NORTHVIEW CT",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957353",
            "telephone_number": "802-578-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 DORSET ST",
            "address_2": "SUITE 10, STONE HOUSE ASSOCIATES",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036209",
            "telephone_number": "802-654-7607",
            "fax_number": "802-654-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTZER",
        "first_name": "LIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0011261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy Yvonne Poland, LCMHC
• Chelsea Poland, LCMHC
• Susan Emily Polgreen, MS, RD, CD
• Alice Kristina Pollvogt, MA
• Megan Poor, LICSW
• Anisa Potvin, LADC
• Poulin Performance, Inc.
• Chris T Poulin, ATC
• Powerback Pediatrics of Vermont, LLC

• Psychiatry Physician in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.