Active NPI
Center for Integrative Medicine
- Specialist
- Rutland, VT
National Provider Identifier
1609079763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CENTER FOR INTEGRATIVE MEDICINE
- Practice address
- 69 Allen St
Suite 9
Rutland, VT 05701-4564 - Phone
- (802) 747-7730
- Fax
- (802) 773-1609
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark J. Bucksbaum, M.D.
- Title
- Owner
- Phone
- (802) 747-7730
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
69 Allen St
Suite 9
Rutland, VT 05701-4564
Mailing address
69 Allen St
Suite 9
Rutland, VT 05701-4564
Phone (802) 747-7730
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Rutland, VT
- NPI 1215997697
-
- Adult Health Nurse Practitioner
- Rutland, VT
- NPI 1477514362
-
- Family Nurse Practitioner
- West Pawlet, VT
- NPI 1497981393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609079763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 ALLEN ST",
"address_2": "SUITE 9",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014564",
"telephone_number": "802-747-7730",
"fax_number": "802-773-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 ALLEN ST",
"address_2": "SUITE 9",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014564",
"telephone_number": "802-747-7730",
"fax_number": "802-773-1609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR INTEGRATIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUCKSBAUM",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-747-7730",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
- John Michael Caswell, RPH
- Kathleen Faulkner Cater, M.S. CCC-SLP
- Erin Farrell Cavalieri, PT
- Marc A. Cecil, PH.D.
- Center for Communication Cognition and Swallowing LLP
- Center for Integrative Medicine,PLLC
- Central Vermont Eye Care, P.C.
- Christopher Chadwick, MS, LADC, AFC, CASAC
- Thomas K Chadwick, D.D.S.
- Kayja Marie Champine, M.S, NCC, LCMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.