Active NPI
Steven Woloshin, MD
- Internal Medicine Physician
- White River JCT, VT
National Provider Identifier
1518974427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0420009439
- Practice address
- 215 N. Main Street
VA Outcomes Group (111B)
White River JCT, VT 05009 - Phone
- (802) 296-5178
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0420009439 | VT | Primary |
Addresses
Primary practice location
215 N. Main Street
VA Outcomes Group (111B)
White River JCT, VT 05009
Mailing address
215 N. Main Street
VA Outcomes Group (111B)
White River JCT, VT 05009
Phone (802) 296-5178
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420009439 | VT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518974427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N. MAIN STREET",
"address_2": "VA OUTCOMES GROUP (111B)",
"city": "WHITE RIVER JCT",
"state": "VT",
"postal_code": "05009",
"telephone_number": "802-296-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N. MAIN STREET",
"address_2": "VA OUTCOMES GROUP (111B)",
"city": "WHITE RIVER JCT",
"state": "VT",
"postal_code": "05009",
"telephone_number": "802-296-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLOSHIN",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "0420009439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White River JCT, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.