Joseph G Theriault, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0420010278 Issued in VT

Practice address

30 W Main St
Richmond, VT 05477-4479

Phone

(802) 434-4123

Fax

(802) 434-3130

NPI assigned

Aug 9, 2006

Last updated

Aug 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richmond Family Medicine PLLC

  • Family Medicine Physician
  • Richmond, VT
  • NPI 1851698112
  Medicare reassignment NPD
• Thomas Chittenden Health Center, PLC

  • Family Medicine Physician
  • Williston, VT
  • NPI 1811099229
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1528078896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054774479",
            "telephone_number": "802-434-4123",
            "fax_number": "802-434-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054774479",
            "telephone_number": "802-434-4123",
            "fax_number": "802-434-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIAULT",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420010278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008108",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison E Smith, PSYD
• Supportive Care of Vermont LLC
• Synergic Health, LLC
• Molly J Taylor, ATC
• The Lund Family Center
• Richard Scott Tremblay, PT, DPT
• Julia Violet Vitale
• Jesse Matthew West
• Maxine Willows, MD
• Shana Witkin, LICSW

• Family Medicine Physician in Richmond, VT
• Providers in Richmond, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.