Individual provider Active NPI

Niels Geoffrey Giddins, MD

  • Pediatric Cardiology Physician
  • Burlington, VT
National Provider Identifier
1508804089
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
042-0011477 Issued in VT
Practice address
Vermont Children's Hospital at Fahc
Patrick 581, 111 Colchester Ave.
Burlington, VT 05401-1473
Phone
(802) 847-8950
Fax
(802) 847-7231
NPI assigned
Jun 4, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 25MA06848600 NJ
Pediatric Cardiology Physician 2080P0202X 042-0011477 VT Primary

Addresses

Primary practice location

Vermont Children's Hospital at Fahc
Patrick 581, 111 Colchester Ave.
Burlington, VT 05401-1473

Mailing address

Vermont Children's Hospital at Fahc
Patrick 581, 111 Colchester Ave.
Burlington, VT 05401-1473
Phone (802) 847-8950

Other identifiers 1

IdentifierTypeStateIssuer
7848102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06848600NJMDPediatric Cardiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1508804089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VERMONT CHILDREN'S HOSPITAL AT FAHC",
            "address_2": "PATRICK 581, 111 COLCHESTER AVE.",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-8950",
            "fax_number": "802-847-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VERMONT CHILDREN'S HOSPITAL AT FAHC",
            "address_2": "PATRICK 581, 111 COLCHESTER AVE.",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-8950",
            "fax_number": "802-847-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDINS",
        "first_name": "NIELS",
        "middle_name": "GEOFFREY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NJ",
            "license": "25MA06848600",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "VT",
            "license": "042-0011477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7848102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.