Vermont Interventional Spine Center

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

VERMONT INTERVENTIONAL SPINE CENTER

Practice address

356 Mountain View Dr
Colchester, VT 05446-5985

Phone

(802) 658-9798

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Tere F Berry, MD

Title

Office Manager

Phone

(802) 655-9798

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1346459153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 MOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05446",
            "telephone_number": "802-655-9798",
            "fax_number": "802-655-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 MOUNTAIN VIEW DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465985",
            "telephone_number": "802-658-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT INTERVENTIONAL SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TERE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-655-9798",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013828",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venessa Luck, Ma, PLC
• Vermont Center for Cancer Medicine, Inc.
• Vermont Center for Responder Wellness LLC
• Vermont CVS Pharmacy LLC
• Vermont Department of Mental Health
• Hilary D Viens, LICSW
• Leah Teresa Villemaire, P.A.-C
• VT Center for Dental Implants and Maxillofacial Surgery LLC
• Abigail M Wadsworth, MS, RD, CD
• Kelly Wagner, N.D.

• Anesthesiology Physician in Colchester, VT
• Providers in Colchester, VT by specialty
• Anesthesiology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.