Jab, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

JAB, INC.

Practice address

64 Colchester Ave
Burlington, VT 05401-1417

Phone

(802) 863-0107

Fax

(802) 658-9292

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John A. Bisson, M.D.

Title

Owner

Phone

(802) 863-0107

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1346446069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011417",
            "telephone_number": "802-863-0107",
            "fax_number": "802-658-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011417",
            "telephone_number": "802-863-0107",
            "fax_number": "802-658-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "BISSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-863-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Sherman Ivie III, D.O.
• Laura Biron Ivins, LICSW, AAP
• Anita Subramanian Iyer, M.D.
• J Allen Puma OD PC
• Jab Inc
• Maria Jackson, OT
• Peter Romney Jackson, M.D.
• Susan L. Jacobs, N.D.
• James Lee Jacobson, M.D.
• Gabrielle Andrea Jacquet, MD

• Urology Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Urology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.