Stanley E. Grzyb, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

042.0006694 Issued in VT

Practice address

1840 Sugarbush Access Road
Warren, VT 05674-9747

Phone

(802) 847-9005

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1861597247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1063",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054021063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SUGARBUSH ACCESS ROAD",
            "city": "WARREN",
            "state": "VT",
            "postal_code": "056749747",
            "telephone_number": "802-847-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZYB",
        "first_name": "STANLEY",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "VT",
            "license": "A20006694",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "VT",
            "license": "042.0006694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "18V003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Clark
• Fletcher Allen Health Care, Inc
• Katrine Kirk, PSYCHOLOGIST-MASTER
• Jefferson Lu
• Andrea Lynn Lutz, CCC/SLP
• Melissa M Marks, LMT, MMP, NCTMB
• Angela McMann, PT

• Orthopaedic Surgery of the Spine Physician in Warren, VT
• Providers in Warren, VT by specialty
• Orthopaedic Surgery of the Spine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.