| NPI | 1104925817 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-21 |
| Last Updated | 2023-05-09 |
| Authorized Official | Sue Rogers-Low office manager Phone: 8028796556 |
| Mailing Address | 89 Main St Essex Jct, VT 05452-3207 United States Phone: (802) 879-6556 | Fax: (802) 872-8021 📍 View Map |
| Primary Practice Address | 89 Main St Essex Jct, VT 05452-3207 United States Phone: (802) 879-6556 | Fax: (802) 872-8021 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | VT | OVN1603 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | VT | 120475 |
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About NPI 1104925817
Essex Pediatrics Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104925817. The primary specialty listed is Pediatrics. The organization is located in Essex Jct, VT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104925817?
NPI 1104925817 belongs to Essex Pediatrics Pc, a Pediatrics in Essex Jct, VT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104925817 active?
The current status of NPI 1104925817 in the NPPES registry is Active. The record was last updated on 2023-05-09.
What specialty is NPI 1104925817?
NPI 1104925817 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104925817?
You can verify NPI 1104925817 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104925817?
The primary practice address on file for NPI 1104925817 is 89 Main St, Essex Jct, VT 05452-3207. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104925817 issued?
NPI 1104925817 was first issued (enumerated) on 2006-09-21. The NPPES record was last updated on 2023-05-09.
Practice Location Map
Essex Pediatrics Pc is located at 89 Main St, Essex Jct, VT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Essex Pediatrics Pc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104925817. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 120475 | VT |