Active NPI
Vermont Pain Management PC
- Pain Medicine (Anesthesiology) Physician
- South Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 032-0000427
- Legal business name
- VERMONT PAIN MANAGEMENT PC
- Practice address
- 1 Kennedy Dr Ste U1
South Burlington, VT 05403-7166 - Phone
- (802) 861-6100
- Fax
- (802) 861-6101
- NPI assigned
- Jan 26, 2007
- Last updated
- Mar 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evan Musman, D.O.
- Title
- President
- Phone
- (802) 861-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 032-0000427 | VT | Primary |
Addresses
Primary practice location
1 Kennedy Dr Ste U1
South Burlington, VT 05403-7166
Mailing address
1 Kennedy Dr Ste U1
South Burlington, VT 05403-7166
Phone (802) 861-6100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE5743 | Other | RR MEDICARE | |
| 0VN3435 | Medicaid | VT | |
| 59779 | Other | VT | BC BS OF VT |
National Provider Directory
National Provider DirectoryLocations
1 Kennedy Dr
Ste U1
South Burlington, VT 05403
Phone (802) 861-6100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- South Burlington, VT
- NPI 1467598441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1962558502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KENNEDY DR STE U1",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037166",
"telephone_number": "802-861-6100",
"fax_number": "802-861-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KENNEDY DR STE U1",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037166",
"telephone_number": "802-861-6100",
"fax_number": "802-861-6101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERMONT PAIN MANAGEMENT PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "MUSMAN",
"authorized_official_first_name": "EVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "802-861-6100",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VT",
"license": "032-0000427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DE5743",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN3435",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF VT",
"identifier": "59779",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
- Vermont Eye Surgery & Laser Center
- Vermont Family Dental PLC (Roligo - Dorset Street Family Dental)
- Vermont Gynecology, PC
- Vermont Mindfulness and Psychotherapy L.L.C.
- Vermont Open MRI
- Vermont Psychological Solutions, PLC
- Taylor Vigneault
- Katja A Von Sitas, PA
- Julie Melissa Wade, M.D.
- Megan Lea Waite, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.