Kenneth S. Danielson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5957 Issued in NH

Practice address

1290 Hospital Dr
St Johnsbury, VT 05819-9205

Phone

(802) 748-2984

NPI assigned

May 10, 2006

Last updated

Mar 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kdanielson@yourcarecommunity.org

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.

• Danielson Surgical Associates

  • Ambulatory Surgical Clinic/Center
  • St Johnsbury, VT
  • NPI 1760431878
  Authorized official Same address or phone
• Cottage Hospital

  dba Rowe Health Center

  • Rural Health Clinic/Center
  • Woodsville, NH
  • NPI 1275857328

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1720037252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 HOSPITAL DR",
            "address_2": "SUITE 1",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199205",
            "telephone_number": "802-748-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199205",
            "telephone_number": "802-748-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "KENNETH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420006525",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "5957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080079",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005741",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig S Schein DPM
• John Alexander Crawford, LOTR
• Kevin M Crawley, RDN
• Amanda Cushing, MSW, LICSW
• Danielson Surgical Associates
• Darren Boles DDS PLLC (Saint Johnsbury Dental Associates)
• David S Brody, MD
• David Toll MD
• David W Scribner
• Mahlon Lee Davis, N.D.

• Surgery Physician in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Surgery Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.