Wendy Ann James, M.D.
Individual provider Active NPI Emergency Medicine Physician · Burlington, VT
NPI 1316955602 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1316955602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 42-0010171 (VT)
- Practice address
- 111 Colchester Ave
Fahc, Emergency Department
Burlington, VT 05401-1473 - Phone
- (802) 847-3982
- Fax
- (802) 847-5963
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070614000006 | VT | Practitioner - Emergency Medicine | 6305944307 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42-0010171 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medical Specialists of Jacksonville | Emergency Medicine | Past | Accepting new patients |
Locations
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
160 Allen St
Rutland, VT 05701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 42-0010171 | VT | Yes |
Addresses
Primary practice location
111 Colchester Ave
Fahc, Emergency Department
Burlington, VT 05401-1473
Mailing address
4 Cedar CT
Essex, VT 05452-2272
Phone (802) 233-4685
Other practice location 1
316 Main St
Norwich, VT 05055-4428
Phone (802) 526-2380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30203732 | Medicaid | NH | |
| E02128889 | Medicaid | NY | |
| 0VN2492 | Medicaid | VT |
Other providers in Burlington, VT
- Jade Mountain Wellness, Inc.
- Charles Trent Jakubik
- William Jamara
- Jace Jamason
- Wendy James
- Ali Jandal
- Christopher Janeway
- Marta Jankowska
- Rachel Jannazzo
- Melanie Jannery
All providers in Burlington, VT · Emergency Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.