NPIMap

Organization Active NPI

Shaftsbury Medical Associates, Inc.

  • Family Medicine Physician
  • Shaftsbury, VT
National Provider Identifier
1366524795
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHAFTSBURY MEDICAL ASSOCIATES, INC.
Practice address
677 VT. Rte. 7a
Shaftsbury, VT 05262-0379
Phone
(802) 442-8531
Fax
(802) 442-1503
NPI assigned
Oct 19, 2006
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Dr. David E King, M.D.NPI 1245295906
Title
President
Phone
(802) 442-8531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

677 VT. Rte. 7a
Shaftsbury, VT 05262-0379

Mailing address

PO Box 379
Shaftsbury, VT 05262-0379
Phone (802) 442-8531

Other identifiers 3

IdentifierTypeStateIssuer
VT4495MedicaidVT
SHAF00018096OtherVTVT BC-BS
5141OtherVTMVP

National Provider Directory

National Provider Directory

Locations

677 Vt Route 7A
Shaftsbury, VT 05262
Phone (802) 442-7300

Practitioners & affiliated clinicians

Practitioners 3

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1366524795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "052620379",
            "telephone_number": "802-442-8531",
            "fax_number": "802-442-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 VT. RTE. 7A",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "052620379",
            "telephone_number": "802-442-8531",
            "fax_number": "802-442-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFTSBURY MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-442-8531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VT4495",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT  BC-BS",
            "identifier": "SHAF00018096",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "5141",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaftsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.