Active NPI
Christopher David Kanner, DO
- Diagnostic Radiology Physician
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 032.0133800
- Practice address
- 111 Colchester Ave
Burlington, VT 05401 - Phone
- (802) 847-3593
- NPI assigned
- May 12, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP02921 | RI | |
| Diagnostic Radiology Physician | 2085R0202X | 326325 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 032.0133800 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-3000
Other practice location 1
75 Beekman St
Plattsburgh, NY 12901-1427
Phone (518) 561-2000
Other practice location 2
133 Park St
Malone, NY 12953-1244
Phone (518) 483-3000
Other practice location 3
115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of New England, College of Osteo Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Porter Hospital IncAlice Hyde Medical Center
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701
133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545
436 Claflin Farm Rd
Charlotte, VT 05445-4411
Phone (802) 847-0000
61 Court Dr
Brandon, VT 05733-8407
Phone (802) 247-3755
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377
82 Catamount Park
Middlebury, VT 05753-1292
Phone (802) 388-7185
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP02921 | RI | MD | Internal Medicine Physician |
| 326325 | NY | MD | Diagnostic Radiology Physician |
| 032.0133800 | VT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Hyde Medical Center | Internal Medicine | Current | Accepting new patients |
| University of Vermont Medical Center Inc | Internal Medicine | Current | Accepting new patients |
| Porter Hospital Inc | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Internal Medicine | Current | Accepting new patients |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Porter Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Alice Hyde Medical Center | Past | Accepting new patients |
Locations
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
61 Court Dr
Brandon, VT 05733
Phone (802) 247-3755
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185
Interoperability endpoints
- ckanner128955@direct.uvmhealth.org
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
VT
-
- Critical Access Hospital
- Middlebury, VT
- NPI 1740291400
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Practice Physician
- Malone, NY
- NPI 1568735660
Internal Medicine, VT
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1558381889
Hospital
-
- Family Medicine Physician
- Middlebury, VT
- NPI 1144240474
Hospital
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Middlebury, VT
- NPI 1033340641
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1689085748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-847-3593"
}
],
"practiceLocations": [
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011427",
"country_code": "US",
"telephone_number": "518-561-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 Park St",
"address_purpose": "LOCATION",
"city": "Malone",
"state": "NY",
"postal_code": "129531244",
"country_code": "US",
"telephone_number": "518-483-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Porter Dr",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "VT",
"postal_code": "057538423",
"country_code": "US",
"telephone_number": "802-388-4701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANNER",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-12",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02921",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "326325",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VT",
"license": "032.0133800",
"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 Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.