Organization Active NPI

Vermont Pain Management PC

  • Pain Medicine (Anesthesiology) Physician
  • South Burlington, VT
National Provider Identifier
1962558502
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
032-0000427 Issued in VT
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Evan Musman, D.O.NPI 1467598441
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DE5743OtherRR MEDICARE
0VN3435MedicaidVT
59779OtherVTBC BS OF VT

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.