Jab Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0420005559 Issued in VT

Legal business name

JAB INC

Practice address

64 Colchester Avenue
Burlington, VT 05401-1417

Phone

(802) 863-0107

Fax

(802) 658-9292

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John A Bisson, M.D.NPI 1205934247

Title

Owner

Phone

(802) 863-0107

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• John A Bisson, M.D.

  • Urology Physician
  • Burlington, VT
  • NPI 1205934247
  NPD (past) Authorized official

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1760656078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SUMMIT RIDGE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013911",
            "telephone_number": "802-863-0107",
            "fax_number": "802-658-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 COLCHESTER AVENUE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011417",
            "telephone_number": "802-863-0107",
            "fax_number": "802-658-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "BISSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-863-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "VT",
            "license": "0420005559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "69852",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Masha Y Ivanova, PHD
• Clarence Sherman Ivie III, D.O.
• Laura Biron Ivins, LICSW, AAP
• Anita Subramanian Iyer, M.D.
• J Allen Puma OD PC
• Jab, Inc.
• Maria Jackson, OT
• Peter Romney Jackson, M.D.
• Susan L. Jacobs, N.D.
• James Lee Jacobson, M.D.

• Urology Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Urology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.