Active NPI
John M Ajamie, MD
- Family Medicine Physician
- St Johnsbury, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042-0007191
- Practice address
- 1315 Hospital Dr
Northeastern VT Regional Hospital
St Johnsbury, VT 05819-9210 - Phone
- (802) 748-8141
- Fax
- (802) 748-7541
- NPI assigned
- Apr 11, 2006
- Last updated
- Jun 1, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420007191 | VT | |
| Family Medicine Physician | 207Q00000X | 042-0007191 | VT | Primary |
Addresses
Primary practice location
1315 Hospital Dr
Northeastern VT Regional Hospital
St Johnsbury, VT 05819-9210
Mailing address
PO Box 905
Northeastern VT Regional Hospital
St Johnsbury, VT 05819-0905
Phone (802) 748-8141
Other practice location 1
790 College Pkwy
Colchester, VT 05446-3007
Phone (802) 847-1170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005157 | Medicaid | VT | |
| 3086244 | Medicaid | NH |
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 |
|---|---|---|---|
| 042-0007191 | VT | MD | Family Medicine Physician |
| 0420007191 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc | Current | Accepting new patients | |
| Northern Counties Health Care, Inc. | Past | Accepting new patients | |
| Northern Counties Health Care, Inc. | Past | Accepting new patients |
Locations
1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638
Organizations & group practices 6
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.
-
dba NVRH Mental Health Group
- Specialist
- St Johnsbury, VT
- NPI 1760773774
-
dba NVRH Cardiology Group
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1013430511
-
dba NVRH Orthopedic Group
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1326081811
-
dba NVRH Neurology Clinic
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1548202690
-
- Federally Qualified Health Center (FQHC)
- St Johnsbury, VT
- NPI 1639783095
-
dba St. Johnsbury Community Health Center
- Federally Qualified Health Center (FQHC)
- St Johnsbury, VT
- NPI 1851418230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1689637399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"address_2": "NORTHEASTERN VT REGIONAL HOSPITAL",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058190905",
"telephone_number": "802-748-8141",
"fax_number": "802-748-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 HOSPITAL DR",
"address_2": "NORTHEASTERN VT REGIONAL HOSPITAL",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058199210",
"telephone_number": "802-748-8141",
"fax_number": "802-748-7541"
}
],
"practiceLocations": [
{
"address_1": "790 College Pkwy",
"address_purpose": "LOCATION",
"city": "Colchester",
"state": "VT",
"postal_code": "054463007",
"country_code": "US",
"telephone_number": "802-847-1170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AJAMIE",
"first_name": "JOHN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "0420007191",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "042-0007191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005157",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3086244",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.