VERMONT PAIN MANAGEMENT PC (NPI# 1962558502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962558502 |
| Entity Type | Organization |
| Organization Name | VERMONT PAIN MANAGEMENT PC |
| Practice Address |
1 Kennedy Dr Ste U1 South Burlington VT 05403-7166 |
| Practice Telephone | 8028616100 |
| Practice Fax Number | 8028616101 |
| Mailing Telephone | 8028616100 |
| Mailing Fax Number | 8028616101 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | EVAN MUSMAN (PRESIDENT) |
| Authorized Official Telephone | 8028616100 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
032-0000427 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0VN3435 | 05 | |
| VT | BC BS OF VT | 59779 | 01 |
| RR MEDICARE | DE5743 | 01 |
| Street Address |
1 KENNEDY DR STE U1 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-7166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710371703 | Corey Sheahan | Anesthesiology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-03-27 |
| 1629334164 | Northwestern Medical Center, Inc. | Anesthesiology | 17 Catherine St, Saint Albans, VT 05478-2205 | 2012-04-10 |
| 1366580193 | Anne Vitaletti-coughlin | Anesthesiology | 530 Washington Hwy, Suite 1, Morrisville, VT 05661-8715 | 2007-02-02 |
| 1972680494 | Gregory A Walker | Anesthesiology | 189 Prouty Dr, Medical Arts Building, Newport, VT 05855-9326 | 2006-11-01 |
| 1144247834 | Anne Vitaletti-coughlin | Anesthesiology | 530 Washington Hwy, Pob Suite 1, Morrisville, VT 05661-8715 | 2006-07-17 |
| 1790715670 | Carlos A. Pino | Anesthesiology | 111 Colchester Ave, Department of Anesthesia - Wp 2, Burlington, VT 05401-1473 | 2006-07-04 |
| 1689628786 | Anesthesiology Associates of Bennington | Anesthesiology | 100 Hospital Drive, Anesthesia Department, Bennington, VT 05201-5004 | 2006-05-22 |
| 1568414373 | North Country Hospital & Health Center Inc | Anesthesiology | 189 Prouty Dr, Medical Arts Building, Newport, VT 05855-9326 | 2006-05-17 |
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
Please comment or provide details below to improve the information on VERMONT PAIN MANAGEMENT PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.