Vermont Physicians Clinic Laboratory Dba Mid VT Neurology

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

VERMONT PHYSICIANS CLINIC LABORATORY DBA MID VT NEUROLOGY

Practice address

28 East St
Rutland, VT 05701-4127

Phone

(802) 773-0566

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Peter SzostakNPI 1982742953

Title

M.D.

Phone

(802) 773-0566

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Joseph Szostak, D.O.

  • Neurology Physician
  • Rutland, VT
  • NPI 1982742953
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1699987453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 EAST ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 EAST ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014127",
            "telephone_number": "802-773-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT PHYSICIANS CLINIC LABORATORY DBA MID VT NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "SZOSTAK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "802-773-0566"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Neurology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.