Organization Active NPI

Vermont Orthopaedic Imaging, PLC

  • Diagnostic Radiology Physician
  • Charlotte, VT
National Provider Identifier
1902938483
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
042-0008961 Issued in VT
Legal business name
VERMONT ORTHOPAEDIC IMAGING, PLC
Practice address
609 Stockbridge Rd
Charlotte, VT 05445-9361
Phone
(802) 425-5141
Fax
(802) 425-5141
NPI assigned
Mar 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles N. Pappas, M.D.
Title
Manager
Phone
(802) 425-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 042-0008961 VT Primary

Addresses

Primary practice location

609 Stockbridge Rd
Charlotte, VT 05445-9361

Mailing address

609 Stockbridge Rd
Charlotte, VT 05445-9361
Phone (802) 425-5141

Other identifiers 2

IdentifierTypeStateIssuer
OVN3906MedicaidVT
VERM00069088OtherVTBLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902938483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 STOCKBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459361",
            "telephone_number": "802-425-5141",
            "fax_number": "802-425-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 STOCKBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459361",
            "telephone_number": "802-425-5141",
            "fax_number": "802-425-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT ORTHOPAEDIC IMAGING, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "802-425-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0008961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN3906",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "VERM00069088",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.