James L Lontine, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0550030123 Issued in VT

Practice address

82 Maple Street
Island Pond, VT 05846

Phone

(802) 723-4300

Fax

(802) 723-4544

NPI assigned

Apr 24, 2006

Last updated

Jul 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Northern Counties Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • St Johnsbury, VT
  • NPI 1649236225
  Medicare reassignment NPD
• Northern Counties Health Care, Inc.

  dba Northern Express Care Newport

  • Federally Qualified Health Center (FQHC)
  • Newport, VT
  • NPI 1003564931
  NPD
• South East Alaska Regional Health Consortium

  dba Hydaburg Health Center

  • Clinic/Center
  • Hydaburg, AK
  • NPI 1073728168
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1316903974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MAPLE STREET",
            "city": "ISLAND POND",
            "state": "VT",
            "postal_code": "05846",
            "telephone_number": "802-723-4300",
            "fax_number": "802-723-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONTINE",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "0550030123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S31420",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dubuque, LCMHC
• June V. Goodband
• Peter Harris, MD
• Tina Heck, NP
• Daniel Keller, DDS
• Amanda Lynn Munger, DMD
• Northern Counties Health Care, Inc. (Island Pond Health & Dental Center)
• Northern Counties HLTH Care Inc (Island Pond Health Center)
• Northern Counties HLTH Care Inc (Island Pond Health Center)
• Yesenia Noyola

• Physician Assistant in Island Pond, VT
• Providers in Island Pond, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.