Todd Frederick Faxvog (NPI# 1083781546, PAC ID# 1153375266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1083781546 |
| PAC ID by PECOS | 1153375266 |
| Professional Enrollment ID | I20050310000569 |
| Full Name | Todd Frederick Faxvog |
| Address |
Grant House Suite 111 Hyde Park VT 05655 |
| Phone Number | 8028888800 |
| Gender | M |
| Credential | DC |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1997 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| Grant House, Suite 111, Hyde Park, VT 05655 | 8028888800 | |
| Grant House, Hyde Park, VT 05655 | 8028888800 |
| Street Address |
GRANT HOUSE SUITE 111 |
| City | HYDE PARK |
| State | VT |
| Zip | 05655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margot C Prendergast | Clinical Social Worker | 111 W Main St, Hyde Park, VT 05655-4421 | |
| Kathryn C S Osborne | Clinical Social Worker | 111 Main St, Hyde Park, VT 05655-9069 | |
| Luke P Smith | Clinical Social Worker | 111 Main St, Hyde Park, VT 05655-9069 | |
| Kimberly Dawn Austin Puleio | Clinical Social Worker | 111 Main St, Hyde Park, VT 05655-9069 |
| City | HYDE PARK |
| Zip Code | 05655 |
| Specialty | CHIROPRACTIC |
| City + Specialty | HYDE PARK + CHIROPRACTIC |
Please comment or provide details below to improve the information on Todd Frederick Faxvog.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.