Robert Charles Jimerson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0420006257 Issued in VT

Practice address

89 Main St
Middlebury, VT 05753-1459

Phone

(802) 388-6751

NPI assigned

Mar 8, 2007

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1700917077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ROSCOE RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459175",
            "telephone_number": "802-425-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531459",
            "telephone_number": "802-388-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMERSON",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "0420006257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004518",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "VT4518",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Medicine: Chiropractic LLC
• Samantha Kay Isenberger, MASSAGE THERAPIST
• James G Daly D.D.S.
• Alicia James, PT. DPT
• Gabrielle Jensen, MSW
• Benjamin Daniel Johnson, D.O.
• Carol Schilthuis Johnson, LICSW
• Kristine Joppe-Mercure, PT, DPT
• Augustus E. Jordan, PH.D.
• Katherine Jordan, MD, LCMHC

• Psychiatry Physician in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.