Peter C. Stickney, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0420004909 Issued in VT

Legal business name

PETER C. STICKNEY, MD PC

Practice address

69 Allen St
Suite #5
Rutland, VT 05701-4590

Phone

(802) 773-2626

Fax

(802) 773-5245

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Peter C. Stickney, MD

Title

President

Phone

(802) 773-2626

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1902144405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST",
            "address_2": "SUITE #5",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014590",
            "telephone_number": "802-773-2626",
            "fax_number": "802-773-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST",
            "address_2": "SUITE #5",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014590",
            "telephone_number": "802-773-2626",
            "fax_number": "802-773-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C. STICKNEY, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "STICKNEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-773-2626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420004909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004494",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Perfitt
• Destinee Perkins
• Heather Perkins, CDE
• James Perry, M.D.
• Peter a. Lakatos, DMD, PC (Total Patient Care Dentistry)
• Gina Tieri Pezzetti Carlstrom, PT
• Amy Pfenning, PNP
• Pharmacy Health Services Inc (Wilcox Pharmacy)
• Mieshau Phillips
• Phoenix Counseling & Wellness, PLC (Lauren LaSante)

• Internal Medicine Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.