Organization Active NPI

Robert J Jauch, MD

  • Otolaryngology Physician
  • St Johnsbury, VT
National Provider Identifier
1730330762
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
420006154 Issued in VT
Legal business name
ROBERT J JAUCH, MD
Practice address
714 Breezy Hill Rd
St Johnsbury, VT 05819-8882
Phone
(802) 748-5126
Fax
(802) 748-1107
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Patricia Jauch
Title
Office Manager
Phone
(802) 748-5126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 420006154 VT Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 008425846 VT

Addresses

Primary practice location

714 Breezy Hill Rd
St Johnsbury, VT 05819-8882

Mailing address

714 Breezy Hill Rd
St Johnsbury, VT 05819-8882
Phone (802) 748-5126

Other identifiers 7

IdentifierTypeStateIssuer
VT7982OtherVTMEDICARE
04PO12OtherVTMVP
0925477OtherVTCIGNA
0100833Y0VT01OtherNHANTHEM NEW HAMPSHIRE BLUE SHIELD
99007982MedicaidNH
0007982MedicaidVT
1047982OtherVTVERMONT BLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

714 Breezy Hill Rd
St Johnsbury, VT 05819
Phone (802) 748-5126

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1730330762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BREEZY HILL RD",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198882",
            "telephone_number": "802-748-5126",
            "fax_number": "802-748-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BREEZY HILL RD",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198882",
            "telephone_number": "802-748-5126",
            "fax_number": "802-748-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J JAUCH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "JAUCH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-748-5126"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "VT",
            "license": "420006154",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VT",
            "license": "008425846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VT7982",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "04PO12",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0925477",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NEW HAMPSHIRE BLUE SHIELD",
            "identifier": "0100833Y0VT01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99007982",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007982",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT BLUE CROSS & BLUE SHIELD",
            "identifier": "1047982",
            "state": "VT"
        }
    ],
    "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 Oct 8, 2008; 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.