Pamela Carol Pedersen, M.D,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042-0009670 Issued in VT

Practice address

48 Lower Newton St
Suite 2
Saint Albans, VT 05478-1907

Phone

(802) 524-4554

Fax

(802) 524-4501

NPI assigned

Dec 13, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Richford Health Center Inc

  • Family Medicine Physician
  • Alburg, VT
  • NPI 1407843543
  NPD (past)
• The Richford Health Center Inc

  • Legal Medicine
  • Saint Albans, VT
  • NPI 1619140696
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1194908004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "address_2": "1140 MAIN STREET",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054540132",
            "telephone_number": "516-232-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 LOWER NEWTON ST",
            "address_2": "SUITE 2",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781907",
            "telephone_number": "802-524-4554",
            "fax_number": "802-524-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "PAMELA",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0009670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1889",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey F Patunoff, MD
• Stephanie Paulick-Maloney, AUD
• Stephen R Payne, MD
• Hilary Pearce
• Miller Bowen Pearsall, M.D.
• Michelle D Pelkey, LICSW
• Matthew Perret, LICSW
• Amanda Peterson, PT, DPT
• Daniel Phillips
• Lindsay Phillips

• Internal Medicine Physician in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.