Active NPI
Gregory H Sharp, MD PHD
- Clinical Pathology/Laboratory Medicine Physician
- Burlington, VT
National Provider Identifier
1295756153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 042-0006746
- Practice address
- 111 Colchester Ave
Fletcher Allen Health Care - Pathology
Burlington, VT 05401-1473 - Phone
- (802) 847-5115
- Fax
- (802) 847-3987
- NPI assigned
- Jul 23, 2006
- 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 |
|---|---|---|---|---|
| Chemical Pathology Physician | 207ZP0104X | 042-0006746 | VT | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 042-0006746 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Fletcher Allen Health Care - Pathology
Burlington, VT 05401-1473
Mailing address
111 Colchester Ave
Deapartment of Pathology and Laboratory Medicine
Burlington, VT 05401-1473
Phone (802) 847-5115
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN2490 | Medicaid | VT | |
| 00791093 | Medicaid | NY |
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0006746 | VT | MD | Chemical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1295756153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"address_2": "DEAPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"address_2": "FLETCHER ALLEN HEALTH CARE - PATHOLOGY",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-5115",
"fax_number": "802-847-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "GREGORY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0104X",
"taxonomy_group": "",
"desc": "Pathology, Chemical Pathology",
"state": "VT",
"license": "042-0006746",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "VT",
"license": "042-0006746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN2490",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00791093",
"state": "NY"
}
],
"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 Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.