Scott B Yeager, M.D.
Individual provider Active NPI Pediatric Cardiology Physician · Burlington, VT
NPI 1447273164 · NPPES record last updated Sep 27, 2011
Key facts
- NPI
- 1447273164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- 420006374 (VT)
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-8200
- Fax
- (802) 847-8742
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 420006374 | VT | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- syeager3744@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 420006374 | VT | Yes |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
75 Old Stage Rd
Essex Junction, VT 05452-2518
Phone (802) 879-6814
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002529 | Medicaid | VT | |
| 00905766 | Medicaid | NY |
Other providers in Burlington, VT
- Yannick Chassereau, Lpma
- Suzanne Yaramishyn
- Ralph W Yarnell
- Grace Yasewicz
- Erica Lynn Yauney
- Tracey Yee
- Christopher Andrew Yen
- Hae Ji Yoon
- You Matter Therapy and Wellness
- Cassandra Ray Young
All providers in Burlington, VT · Pediatric Cardiology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.