Active NPI
Stephen B Mason, MD
- Anesthesiology Physician
- Burlington, VT
National Provider Identifier
1922012558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 042-0009249
- Practice address
- 24 Dunder Rd
Burlington, VT 05401-5432 - Phone
- (802) 951-9882
- Fax
- (802) 524-1051
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 042-0009249 | VT | Primary |
Addresses
Primary practice location
24 Dunder Rd
Burlington, VT 05401-5432
Mailing address
24 Dunder Rd
Burlington, VT 05401-5432
Phone (802) 951-9882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30205544 | Medicaid | NH | |
| OVN1301 | Medicaid | VT |
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 |
|---|---|---|---|
| 042-0009249 | VT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Mason, MD | Anesthesiology | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1922012558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 DUNDER RD",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015432",
"telephone_number": "802-951-9882",
"fax_number": "802-524-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 DUNDER RD",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015432",
"telephone_number": "802-951-9882",
"fax_number": "802-524-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "STEPHEN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VT",
"license": "042-0009249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30205544",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN1301",
"state": "VT"
}
],
"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 Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.