Carol Mahon Salazar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042-0010153 Issued in VT

Practice address

325 North St
VA Clinic
Bennington, VT 05201-1858

Phone

(802) 447-6913

Fax

(802) 442-2137

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770694663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 NORTH ST",
            "address_2": "VA CLINIC",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011858",
            "telephone_number": "802-447-6913",
            "fax_number": "802-442-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NORTH ST",
            "address_2": "VA CLINIC",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011858",
            "telephone_number": "802-447-6913",
            "fax_number": "802-442-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "CAROL",
        "middle_name": "MAHON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0010153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris M Russell, PH.D.
• Kerri L Ryan, RPH
• Stephanie Sacilowski
• Mary Jean Sadlak, PH.D.
• Safe Harbor Wellness Collective, PLLC
• Salem Dentistry P.C.
• Charles Henry Salem, MD
• Justin Peter Salem, D.D.S.
• Kimberley Jayne Sampson, M.D.
• Nathalie Santos, DPM

• Internal Medicine Physician in Bennington, VT
• Providers in Bennington, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.