| Nathaniel Isaac Sugiyama, MD | |
|
111 Colchester Ave, Burlington, VT 05401-1473 | |
| (802) 847-2415 | |
| (802) 847-5324 |
| Full Name | Nathaniel Isaac Sugiyama |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 8 Years |
| Location | 111 Colchester Ave, Burlington, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588161756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD216160 (Oregon) | Secondary |
| 207L00000X | Anesthesiology | 291150 (Massachusetts) | Secondary |
| 207L00000X | Anesthesiology | 042.0040303 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Portland | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portland Adventist Medical Center | 3274908819 | 270 |
| Entity Name | Portland Adventist Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750091021 PECOS PAC ID: 3274908819 Enrollment ID: O20230412001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Isaac Sugiyama, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: () - | Nathaniel Isaac Sugiyama, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-2415 |
Dr. Lydia S Grondin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Dept Of Anesthesia Wp2, Burlington, VT 05401 Phone: 802-847-2415 | |
Jennifer Danles, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324 | |
Timothy S Dominick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Wp2, 122wp2, Burlington, VT 05401 Phone: 802-847-2415 | |
Dr. Robert Isaac Hieronimus, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415 | |
Arden Vanderwall, MD, PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415 | |
Eva V Fraser-harris, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324 | |
Rebecca Ann Aslakson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415 |