Active NPI
Saul Nurok, M.D.
- Emergency Medicine Physician
- Randolph, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 042-0012057
- Practice address
- 44 S Main St
Randolph, VT 05060-1381 - Phone
- (802) 728-2214
- NPI assigned
- Jun 19, 2007
- Last updated
- Sep 9, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 042-0012057 | VT | Primary |
| Emergency Medicine Physician | 207P00000X | 244610 | NY | |
| Emergency Medicine Physician | 207P00000X | MD-14525 | HI | |
| Emergency Medicine Physician | 207P00000X | 25MA08663800 | NJ |
Addresses
Primary practice location
44 S Main St
Randolph, VT 05060-1381
Mailing address
44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-2214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-14525 | HI | MD | Emergency Medicine Physician |
| 244610 | NY | MD | Emergency Medicine Physician |
| 042-0012057 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gifford Medical Center Inc | Current | Accepting new patients | |
| Porter Hospital Inc | Current | Accepting new patients | |
| Integrated Dermatology of South Burlington, PLLC | Current | Accepting new patients | |
| Gifford Medical Center Inc. | Current | Accepting new patients | |
| Hawaii Emergency Physicians Associated Inc | Emergency Medicine | Past | Accepting new patients |
| Porter Hospital Inc | Past | Accepting new patients |
Locations
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
44 S Main St
Randolph, VT 05060
Phone (802) 728-4441
321 Dorset St
South Burlington, VT 05403
Phone (802) 660-8808
Interoperability endpoints
- snurok139541@direct.uvmhealth.org
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Randolph, VT
- NPI 1942329446
-
- Critical Access Hospital
- Middlebury, VT
- NPI 1740291400
-
dba Porter Medical Group
- Family Medicine Physician
- Middlebury, VT
- NPI 1134457013
-
- Medicare Defined Swing Bed Hospital Unit
- Randolph, VT
- NPI 1013928068
-
- Dermatology Physician
- South Burlington, VT
- NPI 1871199703
-
- Anesthesiology Physician
- Middlebury, VT
- NPI 1871689604
-
dba HEPA, Inc.
- Emergency Medicine Physician
- Kailua, HI
- NPI 1801843198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1730384827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 S MAIN ST",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601381",
"telephone_number": "802-728-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 S MAIN ST",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601381",
"telephone_number": "802-728-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUROK",
"first_name": "SAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "042-0012057",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "244610",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "MD-14525",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA08663800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.