Active NPI
Stephen F. Paulus, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 032.0058141
- Practice address
- 145 Pine Haven Shores Road
Suite 2061
Burlington, VT 05401-1523 - Phone
- (802) 489-5470
- Fax
- (802) 497-0867
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 032.0058141 | VT | Primary |
| Family Medicine Physician | 207Q00000X | 032.0058141 | VT |
Addresses
Primary practice location
145 Pine Haven Shores Road
Suite 2061
Burlington, VT 05401-1523
Mailing address
145 Pine Haven Shores Road
Suite 2061
Burlington, VT 05401-1523
Phone (802) 489-5470
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
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
145 Pine Haven Shores Rd
Suite 2061
Shelburne, VT 05482-7815
Phone (802) 489-5470
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032.0058141 | VT | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Paulus DO PLLC | Neuromusculoskeletal Medicine & Omm | Current | Accepting new patients |
| Stephen Paulus DO PLLC | Current | Accepting new patients | |
| Jonathan E. Fenton D.O., P.C. | Past | Accepting new patients |
Locations
145 Pine Haven Shores Rd
Ste 2061
Shelburne, VT 05482
Phone (802) 489-5470
Organizations & group practices 3
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Shelburne, VT
- NPI 1093507170
-
- Medical Specialty Clinic/Center
- Shelburne, VT
- NPI 1043192339
-
- Interventional Pain Medicine Physician
- Winooski, VT
- NPI 1609190164
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1831240092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 PINE HAVEN SHORES ROAD",
"address_2": "SUITE 2061",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011523",
"telephone_number": "802-489-5470",
"fax_number": "802-497-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 PINE HAVEN SHORES ROAD",
"address_2": "SUITE 2061",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011523",
"telephone_number": "802-489-5470",
"fax_number": "802-497-0867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULUS",
"first_name": "STEPHEN",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "VT",
"license": "032.0058141",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "032.0058141",
"primary": false
}
],
"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 Jul 17, 2015; 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.