Elaine V Stasny, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

042-000778 Issued in VT

Practice address

97 Sherman Dr
St Johnsbury Pediatrics
St Johnsbury, VT 05819-9280

Phone

(802) 748-5131

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Northeastern Vermont Regional Hospital, Inc.

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1326080268
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1639116007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199280",
            "telephone_number": "802-748-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 SHERMAN DR",
            "address_2": "ST JOHNSBURY PEDIATRICS",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199280",
            "telephone_number": "802-748-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASNY",
        "first_name": "ELAINE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042-000778",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "10695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200431",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN2061",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Johnsbury Psychology Associates, PLLC
• Amanda M St Martin, MD
• St. Johnsbury Dental Associates Inc.
• St. Johnsbury Health and Rehabilitation Center LLC
• St. Johnsbury School District
• Nicole Stebbins, BCBA
• Stepping Stones Counseling VT LLC
• Brenda Dawn Stewart, CPNP
• Meri Stiles, MSW LICSW PHD
• Maxwell Stinehour, PHARMD

• Pediatrics Physician in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.