Active NPI
Patrick Joseph Mahoney, MD
- Orthopaedic Surgery Physician
- South Burlington, VT
National Provider Identifier
1891729794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Practice address
- 6 San Remo Dr
South Burlington, VT 05403-6310 - Phone
- (802) 862-3983
- Fax
- (802) 863-7994
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- Orthopaedic Surgery Physician
- South Burlington, VT
- NPI 1194804096
Orthopaedic Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42-0004170 | VT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Orthopaedic Surgery, PC | Orthopaedic Surgery | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6 San Remo Dr
South Burlington, VT 05403-6310
Mailing address
6 San Remo Dr
South Burlington, VT 05403-6310
Phone (802) 862-3983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891729794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SAN REMO DR",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036310",
"telephone_number": "802-862-3983",
"fax_number": "802-863-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SAN REMO DR",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036310",
"telephone_number": "802-862-3983",
"fax_number": "802-863-7994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.