Individual provider Active NPI

Samuel Barry Labow, M.D.

  • Colon & Rectal Surgery Physician
  • Stowe, VT
National Provider Identifier
1972759090
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
042-0006564 Issued in VT
Practice address
112 So. Main St
PMB 290
Stowe, VT 05672
Phone
(802) 253-9474
Fax
(802) 253-0878
NPI assigned
Aug 8, 2008
Last updated
Aug 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 042-0006564 VT Primary

Addresses

Primary practice location

112 So. Main St
PMB 290
Stowe, VT 05672

Mailing address

112 So. Main St
PMB 290
Stowe, VT 05672
Phone (802) 253-9474

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0006564VTMDColon & Rectal Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1972759090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SO. MAIN ST",
            "address_2": "PMB 290",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "05672",
            "telephone_number": "802-253-9474",
            "fax_number": "802-253-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SO. MAIN ST",
            "address_2": "PMB 290",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "05672",
            "telephone_number": "802-253-9474",
            "fax_number": "802-253-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOW",
        "first_name": "SAMUEL",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "VT",
            "license": "042-0006564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stowe, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.