Active NPI
Christopher Steven Manfred, M.D.
- Anesthesiology Physician
- Burlington, VT
National Provider Identifier
1386810554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 042.0014239
- Practice address
- 111 Colchester Ave
Burlington, VT 05401 - Phone
- (802) 847-2415
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 15036 | NH | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 15036 | NH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 042.0014239 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401
Mailing address
1349 Hill Street Ext
Berlin, VT 05602-8990
Phone (802) 779-4917
Other practice location 1
261 Taft Family Road
# 1061
Quechee, VT 05059-1061
Phone (802) 779-4917
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020606 | Medicaid | VT | |
| 32001409 | Medicaid | NH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- cmanfred218125@direct.uvmhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1386810554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 HILL STREET EXT",
"city": "BERLIN",
"state": "VT",
"postal_code": "056028990",
"telephone_number": "802-779-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-847-2415"
}
],
"practiceLocations": [
{
"address_1": "261 Taft Family Road",
"address_2": "# 1061",
"address_purpose": "LOCATION",
"city": "Quechee",
"state": "VT",
"postal_code": "050591061",
"country_code": "US",
"telephone_number": "802-779-4917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANFRED",
"first_name": "CHRISTOPHER",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NH",
"license": "15036",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "NH",
"license": "15036",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VT",
"license": "042.0014239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020606",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32001409",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.