Martha Stitelman, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

42-0008683 Issued in VT

Practice address

600Blair Park Rd
Suite 190
Williston, VT 05495

Phone

(802) 872-4342

Fax

(802) 872-0282

NPI assigned

Jun 2, 2006

Last updated

Jun 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Martha Ziebur Former name

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

Locations

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

• Shaftsbury Medical Associates, Inc.

  • Family Medicine Physician
  • Shaftsbury, VT
  • NPI 1366524795
  NPD
• Memory Clinic, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Bennington, VT
  • NPI 1205359213
  NPD (past)
• Primary Care Health Partners

  • Pediatrics Physician
  • S Burlington, VT
  • NPI 1295792745
  NPD (past)
• Primary Care Health Partners - New York LLP

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1003861782

  Geriatric Medicine

  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": "1370563200000",
    "number": "1679511711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD",
            "address_2": "SUITE 190",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957586",
            "telephone_number": "802-872-4342",
            "fax_number": "802-872-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600BLAIR PARK RD",
            "address_2": "SUITE 190",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-872-4342",
            "fax_number": "802-872-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITELMAN",
        "first_name": "MARTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VT",
            "license": "42-0008683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0578",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOHAWK VALLEY HEALTH PLAN",
            "identifier": "378491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00018950",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "ZIEBUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Ann Steeg, LICSW
• Mary Casey Steiger, PT
• John Gordon Stephens, D.D.S.
• Stern Center for Language & Learning
• Bonitta C Steuer, CNM
• Lily Stolberg, NP-C
• Katharine Ann Stones, DNP, FNP-C
• Alyssa Rae Strassel, D.C.
• Andrew Martin Stull, ATC
• Susan N. Legacy, MD PLLC

• Geriatric Medicine (Family Medicine) Physician in Williston, VT
• Providers in Williston, VT by specialty
• Geriatric Medicine (Family Medicine) Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.