Active NPI
Evan Musman, D.O.
- Pain Medicine (Anesthesiology) Physician
- South Burlington, VT
National Provider Identifier
1467598441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 032-0000427
- Practice address
- One Kennedy Drive, Suite U-1
South Burlington, VT 05403-7166 - Phone
- (802) 861-6100
- Fax
- (802) 861-6101
- NPI assigned
- Jan 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 032-0000427 | VT | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 032-0000427 | VT | Primary |
Addresses
Primary practice location
One Kennedy Drive, Suite U-1
South Burlington, VT 05403-7166
Mailing address
One Kennedy Drive, Suite U-1
South Burlington, VT 05403-7166
Phone (802) 861-6100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39879 | Other | VT | BC BS OF VT |
| P00301582 | Other | VT | RR MEDICARE |
| 364858 | Other | VT | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032-0000427 | VT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1467598441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE KENNEDY DRIVE, SUITE U-1",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037166",
"telephone_number": "802-861-6100",
"fax_number": "802-861-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE KENNEDY DRIVE, SUITE U-1",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037166",
"telephone_number": "802-861-6100",
"fax_number": "802-861-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSMAN",
"first_name": "EVAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VT",
"license": "032-0000427",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VT",
"license": "032-0000427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF VT",
"identifier": "39879",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00301582",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "364858",
"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 Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.