Organization Active NPI

Christopher J Hebert PC

  • Internal Medicine Physician
  • Burlington, VT
National Provider Identifier
1285823476
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0420010949 Issued in VT
Legal business name
CHRISTOPHER J HEBERT PC
Practice address
28 S Williams St
Burlington, VT 05401-3486
Phone
(802) 864-0677
NPI assigned
Oct 24, 2007
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Mrs. Deb A Caise
Title
Business Office Manager
Phone
(802) 864-0677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0420010949 VT Primary

Addresses

Primary practice location

28 S Williams St
Burlington, VT 05401-3486

Mailing address

28 S Williams St
Burlington, VT 05401-3486
Phone (802) 864-0677

Other identifiers 1

IdentifierTypeStateIssuer
1011544MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004001057 VT Part B Supplier - Clinic/Group Practice 1658300793 Receives reassigned benefits from 3 practitioners
Practice locations: South Burlington, VT

National Provider Directory

National Provider Directory

Locations

550 Hinesburg Rd
Ste 201
South Burlington, VT 05403
Phone (802) 864-0677

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1285823476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S WILLIAMS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013486",
            "telephone_number": "802-864-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S WILLIAMS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013486",
            "telephone_number": "802-864-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J HEBERT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "CAISE",
        "authorized_official_first_name": "DEB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "802-864-0677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420010949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011544",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.