Active NPI
Goodhealth Diagnostic Center, Inc.
- Diagnostic Radiology Physician
- South Burlington, VT
National Provider Identifier
1487838868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2007
- Organization subpart
- Yes
- Parent organization
- GOODHEALTH DIAGNOSTIC CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter G. Gunther, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013797 | Medicaid | VT |
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.
-
- Internal Medicine Physician
- South Burlington, VT
- NPI 1851341671
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.