Active NPI
Donald A Majercik, MD
- Surgery Physician
- Essex Junction, VT
National Provider Identifier
1811069644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Practice address
- 18 Pearl Street
Essex Junction, VT 05452 - Phone
- (802) 879-6681
- Fax
- (802) 879-0538
- NPI assigned
- Nov 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | VT | Primary |
Addresses
Primary practice location
18 Pearl Street
Essex Junction, VT 05452
Mailing address
18 Pearl Street
Essex Junction, VT 05452
Phone (802) 879-6681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005357 | Medicaid | VT |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071112000081 | VT | Practitioner - General Surgery | 6204924152 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Vermont College of Medicine, 1971
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18 Pearl St
Essex Junction, VT 05452-3605
Phone (802) 879-6681
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 420004637 | VT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald a Majercik, MD, Facs, PC | Current | Accepting new patients |
Locations
18 Pearl St
Essex Junction, VT 05452
Phone (802) 879-6681
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1811069644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 PEARL STREET",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "05452",
"telephone_number": "802-879-6681",
"fax_number": "802-879-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 PEARL STREET",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "05452",
"telephone_number": "802-879-6681",
"fax_number": "802-879-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJERCIK",
"first_name": "DONALD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005357",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Essex Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.