Organization Active NPI

Vermont Plastic Surgery PLC

  • Plastic Surgery Physician
  • Williston, VT
National Provider Identifier
1679388920
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
VERMONT PLASTIC SURGERY PLC
Practice address
372 Hurricane LN Ste 201
Williston, VT 05495-2080
Phone
(802) 755-5752
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Alexandra Schmidt, MDNPI 1336403351
Title
MD Owner
Phone
(802) 755-5752

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)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

372 Hurricane LN Ste 201
Williston, VT 05495-2080

Mailing address

372 Hurricane LN Ste 201
Williston, VT 05495-2080
Phone (802) 755-5752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250219002511 VT Part B Supplier - Clinic/Group Practice 2163942251 Receives reassigned benefits from 1 practitioner
Practice locations: Williston, VT

National Provider Directory

National Provider Directory

Locations

372 Hurricane Ln
Ste 201
Williston, VT 05495
Phone (603) 682-0358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1679388920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 HURRICANE LN STE 201",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952080",
            "telephone_number": "802-755-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 HURRICANE LN STE 201",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952080",
            "telephone_number": "802-755-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT PLASTIC SURGERY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "802-755-5752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.