Yankee Medical Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

YANKEE MEDICAL INC

Practice address

276 North Ave
Burlington, VT 05401-2918

Phone

(802) 863-4591

Fax

(802) 658-3101

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John Nicholas Ficociello, CPO

Title

President

Phone

(802) 863-4591

Specialties & licenses 2

Addresses

Other identifiers 7

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1174528640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 NORTH AVENUE",
            "address_2": "PO BOX 1486",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011486",
            "telephone_number": "802-863-4591",
            "fax_number": "802-658-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NORTH AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054012918",
            "telephone_number": "802-863-4591",
            "fax_number": "802-658-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANKEE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "FICOCIELLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-863-4591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME/BCBS",
            "identifier": "YAV7330",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99007330",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME/MVP",
            "identifier": "1505",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME/BCBS OF NH",
            "identifier": "1200915YONH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007330",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7502028",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00358269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenrick Edwin Wysong
• Kelly Yan
• Robin Yandell, APRN
• Teresa M. Yandow, LICSW
• Michelle Yang, MD
• Yannick Chassereau, Lpma
• Suzanne Yaramishyn, LCMHC
• Ralph W Yarnell, M.D.
• Grace Yasewicz
• Erica Lynn Yauney

• Prosthetic/Orthotic Supplier in Burlington, VT
• Providers in Burlington, VT by specialty
• Prosthetic/Orthotic Supplier in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.