| Vermont Gastroenterology | |
|
875 Roosevelt Hwy Suite 132 Colchester VT 05446-4460 | |
| (802) 864-7483 | |
| (802) 660-4337 |
| Full Name | Vermont Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 875 Roosevelt Hwy, Colchester, Vermont |
| Authorized Official Name and Position | Alex John (PRESIDENT) |
| Authorized Official Contact | 8028647483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vermont Gastroenterology 875 Roosevelt Hwy Suite 132 Colchester VT 05446-4460 Ph: (802) 864-7483 | Vermont Gastroenterology 875 Roosevelt Hwy Suite 132 Colchester VT 05446-4460 Ph: (802) 864-7483 |
| NPI Number | 1346496783 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 02/25/2014 |
| Medicare PECOS PAC ID | 9931259967 |
|---|---|
| Medicare Enrollment ID | O20090611000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346496783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Alex John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588634182 PECOS PAC ID: 0042210403 Enrollment ID: I20070109000110 |
| Provider Name | Cory S Halliburton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083767685 PECOS PAC ID: 7416045877 Enrollment ID: I20071119000216 |
| Provider Name | David N Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588649743 PECOS PAC ID: 8628010816 Enrollment ID: I20140507001497 |
| Provider Name | Kim N Dacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801208418 PECOS PAC ID: 0547584294 Enrollment ID: I20150128001889 |
| Provider Name | Alan Eric Landau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003876368 PECOS PAC ID: 0345252953 Enrollment ID: I20190709002983 |
| Provider Name | Jacek Mysior |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811206246 PECOS PAC ID: 1456626282 Enrollment ID: I20220117000477 |
Vermont Information Processing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Watertower Cir Ste 201, Colchester, VT 05446 Phone: 802-698-8583 | |
Hobie Fuerstman Do Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Roosevelt Hwy Ste 210, Colchester, VT 05446 Phone: 802-879-6544 | |
Ethan Allen Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 Vermont Ave, Colchester, VT 05446 Phone: 802-655-1122 Fax: 802-655-1124 | |
Carol J. Gardner, Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Roosevelt Hwy, Suite 210, Colchester, VT 05446 Phone: 802-879-6544 Fax: 802-879-0022 | |
Ronald B. Miller, Phd, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Ethan Allen Ave, Colchester, VT 05446 Phone: 802-654-7075 |