Active NPI
Robert Joseph Jauch, MD
- Otolaryngology Physician
- St Johnsbury, VT
National Provider Identifier
1265532444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Practice address
- 714 Breezy Hill Road
Suite a
St Johnsbury, VT 05819 - Phone
- (802) 748-5126
- Fax
- (802) 748-1107
- NPI assigned
- Sep 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | VT | Primary | |
| Otolaryngology Physician | 207Y00000X | 5870 | NH |
Addresses
Primary practice location
714 Breezy Hill Road
Suite a
St Johnsbury, VT 05819
Mailing address
714 Breezy Hill Road
Suite a
St Johnsbury, VT 05819
Phone (802) 748-5126
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100833Y0VT01 | Other | NH | ANTHEM BLUE SHIELD |
| 0007982 | Medicaid | VT | |
| 04P012 | Other | MVP | |
| 1047982 | Other | VT | VT BCBS |
| 99007982 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5870 | NH | MD | Otolaryngology Physician |
| 420006154 | VT | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J Jauch, MD | Otolaryngology | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- St Johnsbury, VT
- NPI 1730330762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265532444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 BREEZY HILL ROAD",
"address_2": "SUITE A",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "05819",
"telephone_number": "802-748-5126",
"fax_number": "802-748-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 BREEZY HILL ROAD",
"address_2": "SUITE A",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "05819",
"telephone_number": "802-748-5126",
"fax_number": "802-748-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAUCH",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VT",
"license": null,
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NH",
"license": "5870",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "0100833Y0VT01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007982",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "04P012",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VT BCBS",
"identifier": "1047982",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99007982",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Johnsbury, 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.