Active NPI
Allergy & Asthma Specialists of Northern Vermont PC
- Allergy & Immunology Physician
- Essex JCT, VT
National Provider Identifier
1992964050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 0420009526
- Legal business name
- ALLERGY & ASTHMA SPECIALISTS OF NORTHERN VERMONT PC
- Practice address
- 55 Main St
Ste 2
Essex JCT, VT 05452-6100 - Phone
- (802) 879-1310
- Fax
- (802) 879-1330
- NPI assigned
- Jun 4, 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
- William H Newman, M.D.
- Title
- Practice Owner
- Phone
- (802) 524-2550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 0420009526 | VT | Primary |
Addresses
Primary practice location
55 Main St
Ste 2
Essex JCT, VT 05452-6100
Mailing address
55 Main St
Ste 2
Essex JCT, VT 05452-6100
Phone (802) 879-1310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN1613 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
654 Granger Rd
Ste 2
Barre, VT 05641
Phone (802) 229-1626
260 Crest Rd
Ste 203
Saint Albans, VT 05478
Phone (802) 524-2550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429142400000",
"number": "1992964050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MAIN ST",
"address_2": "STE 2",
"city": "ESSEX JCT",
"state": "VT",
"postal_code": "054526100",
"telephone_number": "802-879-1310",
"fax_number": "802-879-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAIN ST",
"address_2": "STE 2",
"city": "ESSEX JCT",
"state": "VT",
"postal_code": "054526100",
"telephone_number": "802-879-1310",
"fax_number": "802-879-1330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY & ASTHMA SPECIALISTS OF NORTHERN VERMONT PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-04",
"last_updated": "2015-04-16",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "802-524-2550",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "VT",
"license": "0420009526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN1613",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Essex JCT, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.