Individual provider Active NPI

Eduards Gunars Ziedins, M.D.

  • Surgery Physician
  • Berlin, VT
National Provider Identifier
1174545123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
042-0010583 Issued in VT
Practice address
130 Fisher Rd Ste 3-1
Berlin, VT 05602-9000
Phone
(802) 225-7075
Fax
(802) 225-7104
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 042-0010583 VT Primary

Addresses

Primary practice location

130 Fisher Rd Ste 3-1
Berlin, VT 05602-9000

Mailing address

401 Harvey Farm Rd
Waterbury Center, VT 05677-7122
Phone (802) 244-7758

Other identifiers 1

IdentifierTypeStateIssuer
1009718MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000385 VT Practitioner - General SurgeryPractitioner - Otolaryngology 4587841978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland at Baltimore School of Dentistry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Vermont Medical Center IncGroup PAC ID 9335138817, shared by 4 NPIs, 233 clinicians

Practice addresses (Care Compare)

130 Fisher Rd
Barre, VT 05641-9004
Phone (802) 371-4235

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0010583VTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Surgery CurrentSince Jul 3, 2003 Accepting new patients
Central Vermont Medical Center Inc Surgery CurrentSince Aug 1, 2020 Accepting new patients
Central Vermont Medical Center Inc Surgery CurrentSince Aug 1, 2020 Accepting new patients

Locations

246 Granger Rd
Ste 2
Barre, VT 05641
Phone (802) 225-5810

130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235

130 Fisher Rd
Ste 31
Berlin, VT 05602
Phone (802) 225-7000

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Interoperability endpoints

  • Direct secure messaging: eziedins10476@direct.uvmhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174545123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HARVEY FARM RD",
            "city": "WATERBURY CENTER",
            "state": "VT",
            "postal_code": "056777122",
            "telephone_number": "802-244-7758",
            "fax_number": "802-225-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD STE 3-1",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029000",
            "telephone_number": "802-225-7075",
            "fax_number": "802-225-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEDINS",
        "first_name": "EDUARDS",
        "middle_name": "GUNARS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "042-0010583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009718",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.