NPIMap

Organization Active NPI

Mid-North Medical Group Incorporated

  • Adult Medicine Physician
  • St Albans, VT
National Provider Identifier
1366516064
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0420005941 Issued in VT
Legal business name
MID-NORTH MEDICAL GROUP INCORPORATED
Practice address
156 North Main Street
St Albans, VT 05478
Phone
(802) 524-2106
Fax
(802) 527-9656
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Frank Joseph Zsoldos Jr., MDNPI 1265541023
Title
President
Phone
(802) 524-2106

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
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 0420005941 VT Primary

Addresses

Primary practice location

156 North Main Street
St Albans, VT 05478

Mailing address

156 North Main Street
St Albans, VT 05478
Phone (802) 524-2106

Other identifiers 1

IdentifierTypeStateIssuer
0004687MedicaidVT

National Provider Directory

National Provider Directory

Locations

156 N Main St
Saint Albans, VT 05478
Phone (802) 524-2106

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1366516064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 NORTH MAIN STREET",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-524-2106",
            "fax_number": "802-527-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 NORTH MAIN STREET",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-524-2106",
            "fax_number": "802-527-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-NORTH MEDICAL GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ZSOLDOS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-524-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VT",
            "license": "0420005941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004687",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.