Telos, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0420012320 Issued in VT

Legal business name

TELOS, LLC

Practice address

152 Grafton Road
Townshend, VT 05353

Phone

(802) 365-4318

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Thomas Mulhern, M.D.

Title

MBR

Phone

(802) 365-4285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1639510787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "TOWNSHEND",
            "state": "VT",
            "postal_code": "053530308",
            "telephone_number": "802-365-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 GRAFTON ROAD",
            "city": "TOWNSHEND",
            "state": "VT",
            "postal_code": "05353",
            "telephone_number": "802-365-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "MULHERN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "802-365-4285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420012320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Adam Rosenblum, PA-C
• Elise Kathleen Sawyer Kraus, RN
• Andrew Semegram, APRN, FNP-C, CEN
• Timothy Shafer, M.D.
• Taylor Stewart
• George P. Terwilliger, M.D.
• Tickortreat Medical PA
• Judith Tietz, M.D.
• Alexandra Van Dyck, MD
• Jeffrey W Wallace, DDS

• Family Medicine Physician in Townshend, VT
• Providers in Townshend, 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 Jul 17, 2013; 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.