Marvin Klikunas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042-8569 Issued in VT

Practice address

353 Blair Park Rd
Williston, VT 05495-7530

Phone

(802) 847-1470

Fax

(802) 847-7135

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: mklikunas3789@direct.uvmhealth.org

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427066927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 UPPER MEADOWS LN",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459015",
            "telephone_number": "802-425-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BLAIR PARK RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957530",
            "telephone_number": "802-847-1470",
            "fax_number": "802-847-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIKUNAS",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-8569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0454",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behnaz Khatami, PHARMD
• Sophie Kim
• Amy Beth Kinneston, P.T.
• Elinor Kirk, PT, DPT
• Sarah Kitchen, BCABA
• KPH Healthcare Services, Inc. (Healthdirect Institutional Pharmacy Services, Inc.)
• Martin Hans Krag
• Subhash Raj Krishnaraaj, DDS
• Brynn Kusiak, PT
• Ilya Kvartin, DMD

• Internal Medicine Physician in Williston, VT
• Providers in Williston, 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 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.