Organization Active NPI

Stephanie Landvater, MD PLC

  • Orthopaedic Surgery Physician
  • Barre, VT
National Provider Identifier
1821592387
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
STEPHANIE LANDVATER, MD PLC
Practice address
2418 Airport Rd Ste C
Barre, VT 05641
Phone
(802) 881-5137
Fax
(802) 433-5070
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Stephanie J Landvater, MD
Title
Owner
Phone
(802) 881-5137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2418 Airport Rd Ste C
Barre, VT 05641

Mailing address

507 Chapman LN
Williston, VT 05495-7770
Phone (802) 881-5137

Other identifiers 1

IdentifierTypeStateIssuer
0VN0439MedicaidVT

Other names 1

  • Stephanie Landvater, MD PLC Doing business as

National Provider Directory

National Provider Directory

Locations

2418 Airport Rd
Ste C
Barre, VT 05641
Phone (802) 881-5137

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1821592387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CHAPMAN LN",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957770",
            "telephone_number": "802-881-5137",
            "fax_number": "802-433-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 AIRPORT RD STE C",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "05641",
            "telephone_number": "802-881-5137",
            "fax_number": "802-433-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE LANDVATER, MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "LANDVATER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-881-5137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0439",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Landvater, MD PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barre, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.