Active NPI
Gerald Sundt Davis, M.D.
- Pulmonary Disease Physician
- Burlington, VT
National Provider Identifier
1659488039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Practice address
- 111 Colchester Ave
Fletcher Allen Health Care - Acc East Pav 5
Burlington, VT 05401-1473 - Phone
- (802) 847-1158
- NPI assigned
- Aug 23, 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Fletcher Allen Health Care - Acc East Pav 5
Burlington, VT 05401-1473
Mailing address
4367 St George Rd
Williston, VT 05495-7687
Phone (802) 878-2109
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 420005441 | VT | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659488039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4367 ST GEORGE RD",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957687",
"telephone_number": "802-878-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"address_2": "FLETCHER ALLEN HEALTH CARE - ACC EAST PAV 5",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GERALD",
"middle_name": "SUNDT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, 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.