NPIMap

Organization Active NPI

Champlain Valley Cardiovascular Associates, PC

  • Cardiovascular Disease Physician
  • South Burlington, VT
National Provider Identifier
1386609253
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CHAMPLAIN VALLEY CARDIOVASCULAR ASSOCIATES, PC
Practice address
364 Dorset St
Suite 1
South Burlington, VT 05403-6270
Phone
(802) 862-6312
Fax
(802) 658-3984
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Dr. Daniel S Raabe, MDNPI 1780642892
Title
Chief Executive Officer
Phone
(802) 862-6312

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

364 Dorset St
Suite 1
South Burlington, VT 05403-6270

Mailing address

PO Box 84
Brattleboro, VT 05302-0084
Phone (802) 862-6312

Other identifiers 1

IdentifierTypeStateIssuer
0006200MedicaidVT

National Provider Directory

National Provider Directory

Locations

812 Exchange St
Ste 2
Middlebury, VT 05753
Phone (802) 388-0137

364 Dorset St Ste 1
Ste 1
S Burlington, VT 05403

364 Dorset St 1
South Burlington, VT 05403

364 Dorset St
Ste 1
South Burlington, VT 05403

Practitioners 9

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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1386609253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020084",
            "telephone_number": "802-862-6312",
            "fax_number": "802-658-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 DORSET ST",
            "address_2": "SUITE 1",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036270",
            "telephone_number": "802-862-6312",
            "fax_number": "802-658-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN VALLEY CARDIOVASCULAR ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "RAABE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "802-862-6312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006200",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.