Organization Active NPI

Stowe Cardiology

  • Cardiovascular Disease Physician
  • Stowe, VT
National Provider Identifier
1336328152
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0420009652 Issued in VT
Legal business name
STOWE CARDIOLOGY
Practice address
377 Cross Rd
Stowe, VT 05672-4408
Phone
(802) 253-2922
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Richard Daum, MD
Title
Chief Administator
Phone
(802) 253-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 0420009652 VT Primary

Addresses

Primary practice location

377 Cross Rd
Stowe, VT 05672-4408

Mailing address

377 Cross Rd
Stowe, VT 05672-4408
Phone (802) 253-2922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1336328152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 CROSS RD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724408",
            "telephone_number": "802-253-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 CROSS RD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724408",
            "telephone_number": "802-253-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOWE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "DAUM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF ADMINISTATOR",
        "authorized_official_telephone_number": "802-253-2922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": "0420009652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stowe, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.