Organization Active NPI

Goodhealth Diagnostic Center, Inc.

  • Diagnostic Radiology Physician
  • South Burlington, VT
National Provider Identifier
1487838868
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GOODHEALTH DIAGNOSTIC CENTER, INC.
Practice address
368 Dorset St
Suite 2
South Burlington, VT 05403-6236
Phone
(802) 860-7070
Fax
(802) 860-7060
NPI assigned
Dec 21, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
GOODHEALTH DIAGNOSTIC CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Peter G. Gunther, MDNPI 1851341671
Title
Medical Director
Phone
(802) 860-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

368 Dorset St
Suite 2
South Burlington, VT 05403-6236

Mailing address

368 Dorset St
Suite 2
South Burlington, VT 05403-6236
Phone (802) 860-7070

Other identifiers 1

IdentifierTypeStateIssuer
1013797MedicaidVT

National Provider Directory

National Provider Directory
Part of
Goodhealth Diagnostic Center Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1487838868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 DORSET ST",
            "address_2": "SUITE 2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036236",
            "telephone_number": "802-860-7070",
            "fax_number": "802-860-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 DORSET ST",
            "address_2": "SUITE 2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036236",
            "telephone_number": "802-860-7070",
            "fax_number": "802-860-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODHEALTH DIAGNOSTIC CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOODHEALTH DIAGNOSTIC CENTER, INC.",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "GUNTHER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "802-860-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013797",
            "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 Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.