Active NPI
Peter Joseph Szostak, D.O.
- Neurology Physician
- Rutland, VT
National Provider Identifier
1982742953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 032-0000473
- Practice address
- 28 East St
Rutland, VT 05701-4127 - Phone
- (802) 683-9465
- NPI assigned
- Feb 2, 2007
- Last updated
- Mar 11, 2009
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 032-0000473 | VT | Primary |
Addresses
Primary practice location
28 East St
Rutland, VT 05701-4127
Mailing address
28 East St
Rutland, VT 05701-4127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN1884 | 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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032-0000473 | VT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vermont Physicians Clinic | Past | Accepting new patients | |
| Vermont Physicians Clinic Laboratory Dba Mid VT Neurology | Neurology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Rutland, VT
- NPI 1699987453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1982742953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 EAST ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 EAST ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014127",
"telephone_number": "802-683-9465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZOSTAK",
"first_name": "PETER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VT",
"license": "032-0000473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN1884",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.