Tina D'Amato, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0320000547 Issued in VT

Legal business name

TINA D'AMATO, PC

Practice address

71 Knight LN
Suite 10/20
Williston, VT 05495-4432

Phone

(802) 872-7001

Fax

(802) 872-9088

NPI assigned

Oct 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tina D'Amato, D.O.

Title

President

Phone

(508) 498-7242

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1497065098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 KNIGHT LN",
            "address_2": "SUITE 10/20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954432",
            "telephone_number": "802-872-7001",
            "fax_number": "802-872-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 KNIGHT LN",
            "address_2": "SUITE 10/20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954432",
            "telephone_number": "802-872-7001",
            "fax_number": "802-872-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA D'AMATO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "D'AMATO",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-498-7242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0320000547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014019",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Caitlin Thornton, ATC
• Threelittlebirds, LLC
• Lisa M. Tidman, PTA
• Tracy Titchner, PT
• Jason To
• Town of Williston
• Adriane Cross Trout, M.D.
• Riley Trowell, RDN

• All providers in Williston, VT
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.