Organization Active NPI

Vermont Urogynecology Associates, PC

  • Urology Physician
  • Williston, VT
National Provider Identifier
1992759823
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
VERMONT UROGYNECOLOGY ASSOCIATES, PC
Practice address
71 Knight LN
Suite 10
Williston, VT 05495-4432
Phone
(802) 872-7001
NPI assigned
May 22, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Anne Viselli, M.D.
Title
Owner
Phone
(802) 872-7001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

71 Knight LN
Suite 10
Williston, VT 05495-4432

Mailing address

71 Knight LN
Suite 10
Williston, VT 05495-4432
Phone (802) 872-7001

Other identifiers 2

IdentifierTypeStateIssuer
1011502MedicaidVT
DD6990OtherVTRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

71 Knight Ln
Ste 10
Williston, VT 05495
Phone (802) 872-7001

71 Knight Ln
Ste 1ARK
Williston, VT 05495

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1992759823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 KNIGHT LN",
            "address_2": "SUITE 10",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954432",
            "telephone_number": "802-872-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 KNIGHT LN",
            "address_2": "SUITE 10",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954432",
            "telephone_number": "802-872-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT UROGYNECOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "VISELLI",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-872-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011502",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DD6990",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.