Individual provider Active NPI

James R Milne, MD

  • Pediatrics Physician
  • Berlin, VT
National Provider Identifier
1265453906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
042-0005965 Issued in VT
Practice address
266 Fisher Rd Ste 1
Associates in Pediatrics
Berlin, VT 05602-9179
Phone
(802) 371-5950
Fax
(802) 371-5951
NPI assigned
Jul 21, 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
Pediatrics Physician 208000000X 042-0005965 VT Primary

Addresses

Primary practice location

266 Fisher Rd Ste 1
Associates in Pediatrics
Berlin, VT 05602-9179

Mailing address

PO Box 547
CVMC Medical Group Practices
Barre, VT 05641-0547
Phone (802) 371-5326

Other identifiers 1

IdentifierTypeStateIssuer
0004719MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0005965VTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265453906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "CVMC MEDICAL GROUP PRACTICES",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-371-5326",
            "fax_number": "802-371-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 FISHER RD STE 1",
            "address_2": "ASSOCIATES IN PEDIATRICS",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029179",
            "telephone_number": "802-371-5950",
            "fax_number": "802-371-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILNE",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042-0005965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004719",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.