Irish Springs Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IRISH SPRINGS INTERNAL MEDICINE LLC

Practice address

22 Old Main Street
Jeffersonville, VT 05464-0157

Phone

(802) 644-1432

Fax

(802) 644-1454

NPI assigned

Jul 28, 2016

Last updated

Oct 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John M Dunn, MDNPI 1427087543

Title

Authorized Rep/Owner

Phone

(802) 644-1432

Specialties & licenses 1

Addresses

Practitioners 1

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.

• John M Dunn, MD

  • Internal Medicine Physician
  • Jeffersonville, VT
  • NPI 1427087543
  Authorized official Same address or phone

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1366995193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD MAIN STREET",
            "address_2": "PO BOX 157",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054640157",
            "telephone_number": "802-644-1432",
            "fax_number": "802-644-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD MAIN STREET",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054640157",
            "telephone_number": "802-644-1432",
            "fax_number": "802-644-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRISH SPRINGS INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "802-644-1432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Graham, MA
• Josha Anne Grant, MA
• Ann Kathy Greer, LCMHC, LADC
• Leigh Gregory
• Alicia T. Guilford, M.D.
• Linda Nola Kopper, P.T.
• Lisa Lague-Greco, LCMHC
• Ekaterina Langlois
• Sara Jane Luneau, LCMHC
• Carol Lee Mason, MSW, LICSW

• Internal Medicine Physician in Jeffersonville, VT
• Providers in Jeffersonville, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.