Organization Active NPI

Associates in Gastroenterology, PLLC

Doing business as Vermont Gastroenterology

  • Gastroenterology Physician
  • Colchester, VT
National Provider Identifier
1346496783
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ASSOCIATES IN GASTROENTEROLOGY, PLLC
Doing business as
Vermont Gastroenterology
Practice address
875 Roosevelt Hwy
Suite 132
Colchester, VT 05446-4460
Phone
(802) 864-7483
Fax
(802) 660-4337
NPI assigned
Aug 18, 2008
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Dr. Alex John, M.D.NPI 1588634182
Title
President
Phone
(802) 864-7483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

875 Roosevelt Hwy
Suite 132
Colchester, VT 05446-4460

Mailing address

875 Roosevelt Hwy
Suite 132
Colchester, VT 05446-4460
Phone (802) 864-7483

Other names 1

  • Vermont Gastroenterology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000707 VT Part B Supplier - Clinic/Group Practice 9931259967 Receives reassigned benefits from 7 practitioners
Practice locations: Colchester, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D0856802Associates in Gastroenterology PLLC875 Roosevelt Highway, Colchester, VT 05446Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

875 Roosevelt Hwy
Colchester, VT 05446
Phone (802) 864-7483

875 Roosevelt Hwy
Ste 132
Colchester, VT 05446
Phone (802) 864-7483

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1346496783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY",
            "address_2": "SUITE 132",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464460",
            "telephone_number": "802-864-7483",
            "fax_number": "802-660-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY",
            "address_2": "SUITE 132",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464460",
            "telephone_number": "802-864-7483",
            "fax_number": "802-660-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-864-7483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.