Organization Active NPI

Haig Physical Medicine PLC

  • Medical Specialty Clinic/Center
  • Williston, VT
National Provider Identifier
1215466107
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
HAIG PHYSICAL MEDICINE PLC
Practice address
373 Blair Park Rd Ste 206
Williston, VT 05495-7998
Phone
(802) 857-5671
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Andrew John Haig, M.D.NPI 1770665655
Title
President
Phone
(802) 857-5671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

373 Blair Park Rd Ste 206
Williston, VT 05495-7998

Mailing address

373 Blair Park Rd Ste 206
Williston, VT 05495-7998
Phone (802) 857-5671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170721000604 VT Part B Supplier - Clinic/Group Practice 7012287253 Receives reassigned benefits from 1 practitioner
Practice locations: Williston, VT

National Provider Directory

National Provider Directory

Locations

1590 Route 7 S
Ste 1
Middlebury, VT 05753

373 Blair Park Rd
Unit 206
Williston, VT 05495
Phone (802) 316-8717

120 Zephyr Rd
Williston, VT 05495
Phone (802) 458-8942

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16513/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215466107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 BLAIR PARK RD STE 206",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957998",
            "telephone_number": "802-857-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BLAIR PARK RD STE 206",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957998",
            "telephone_number": "802-857-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIG PHYSICAL MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAIG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-857-5671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.