Individual provider Active NPI

Thomas Frank Ziobrowski, MD

  • Internal Medicine Physician
  • St Johnsbury, VT
National Provider Identifier
1356304133
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0420006256 Issued in VT
Practice address
714 Breezy Hill Rd
St Johnsbury, VT 05819-8882
Phone
(802) 748-7500
Fax
(802) 745-1188
NPI assigned
Apr 11, 2006
Last updated
Apr 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0420006256 VT Primary

Addresses

Primary practice location

714 Breezy Hill Rd
St Johnsbury, VT 05819-8882

Mailing address

714 Breezy Hill Rd
St Johnsbury, VT 05819-8882
Phone (802) 748-7500

Other identifiers 2

IdentifierTypeStateIssuer
B85417OtherVTMEDICARE UPIN NUMBER
0004329MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420006256VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1356304133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BREEZY HILL RD",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198882",
            "telephone_number": "802-748-7500",
            "fax_number": "802-745-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BREEZY HILL RD",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198882",
            "telephone_number": "802-748-7500",
            "fax_number": "802-745-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIOBROWSKI",
        "first_name": "THOMAS",
        "middle_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420006256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN NUMBER",
            "identifier": "B85417",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004329",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.