Active NPI
Federico E Fiallos, MD
- Surgery Physician
- Springfield, VT
National Provider Identifier
1306843560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 042-0008032
- Practice address
- 29 Ridgewood Rd
Springfield, VT 05156-3050 - Phone
- (802) 885-5600
- Fax
- (802) 885-5605
- NPI assigned
- Jul 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 042-0008032 | VT | Primary |
Addresses
Primary practice location
29 Ridgewood Rd
Springfield, VT 05156-3050
Mailing address
29 Ridgewood Rd
Springfield, VT 05156-3050
Phone (802) 885-5600
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 |
|---|---|---|---|
| 042-0008032 | VT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Hospital Inc | Surgery | 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": "1120262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1306843560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 RIDGEWOOD RD",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563050",
"telephone_number": "802-885-5600",
"fax_number": "802-885-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 RIDGEWOOD RD",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563050",
"telephone_number": "802-885-5600",
"fax_number": "802-885-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIALLOS",
"first_name": "FEDERICO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-02",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VT",
"license": "042-0008032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.