NPIMap

Organization Active NPI

Fletcher Allen Health Care Specialty Services, LLC

  • Anesthesiology Physician
  • Burlington, VT
National Provider Identifier
1801228697
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FLETCHER ALLEN HEALTH CARE SPECIALTY SERVICES, LLC
Practice address
111 Colchester Ave
Burlington, VT 05401-1473
Phone
(802) 847-0000
NPI assigned
Aug 2, 2013
Last updated
Aug 2, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FLETCHER ALLEN HEALTH CARE SPECIALTY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Mr. Roger Deshaies
Title
Cfo
Phone
(802) 847-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

111 Colchester Ave
Burlington, VT 05401-1473

Mailing address

PO Box 1150
Burlington, VT 05402-1150
Phone (802) 847-1882

National Provider Directory

National Provider Directory
Tax ID family
Fletcher Allen Health Care Specialty Services LLC2 organizations share this tax ID, including this one
Part of
Fletcher Allen Health Care Specialty Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1801228697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054021150",
            "telephone_number": "802-847-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER ALLEN HEALTH CARE SPECIALTY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLETCHER ALLEN HEALTH CARE SPECIALTY SERVICES, LLC",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "DESHAIES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-847-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.