Mario Estrin Trabulsy, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

42-0009271 Issued in VT

Practice address

111 Colchester Ave
Fahc Emergency Department
Burlington, VT 05401-1473

Phone

(802) 847-3982

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Vermont Medical Center Inc

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615

  Emergency Medicine

  NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407889769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 BRAELOCH RD",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054467478",
            "telephone_number": "802-893-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "FAHC EMERGENCY DEPARTMENT",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABULSY",
        "first_name": "MARIO",
        "middle_name": "ESTRIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "42-0009271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1360",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Marshall Torstrick, PHD
• Kelly J Tourville, MED, ATC
• Timothy Ward Tourville, MED, ATC, CSCS
• Guy Tousignant, M.D.
• Thomas Peter Townsend
• Philip Patrick Trabulsy, MD
• Elizabeth Trackim, LICSW
• Andrew Tranmer
• Bruce Ian Tranmer, M.D.
• Transition II

• Emergency Medicine Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Emergency Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.