{ "result_count": 57, "results": [ { "addresses": [ { "address_1": "69 ALLEN ST STE 6", "address_purpose": "MAILING", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "postal_code": "057014564", "state": "VT", "telephone_number": "802-773-8199" }, { "address_1": "69 ALLEN ST STE 6", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "postal_code": "057014564", "state": "VT", "telephone_number": "802-773-8199" } ], "basic": { "authorized_official_credential": "D.P.M.", "authorized_official_first_name": "MARY", "authorized_official_last_name": "SCHUH", "authorized_official_middle_name": "T", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8027708109", "authorized_official_title_or_position": "President", "enumeration_date": "2014-05-29", "last_updated": "2018-04-30", "organization_name": "ADVANCED ANKLE & FOOT CARE, PLLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1401399377000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1525115733000", "number": "1003228677", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056.0000186", "primary": true, "state": "VT", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "73 ENGREM AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "postal_code": "057014517", "state": "VT" }, { "address_1": "73 ENGREM AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "postal_code": "057014517", "state": "VT", "telephone_number": "217-553-9265" } ], "basic": { "authorized_official_credential": "DPM", "authorized_official_first_name": "IAN", "authorized_official_last_name": "ODIGIE", "authorized_official_name_prefix": "Dr.", "authorized_official_telephone_number": "2175539265", "authorized_official_title_or_position": "Podiatrist", "certification_date": "2022-12-17", "enumeration_date": "2022-12-19", "last_updated": "2022-12-19", "organization_name": "ADVANCED FOOT AND ANKLE CENTER LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1671447738000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1671447738000", "number": "1275245565", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "104 WELLS AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "GREENWOOD", "country_code": "US", "country_name": "United States", "postal_code": "296463837", "state": "SC", "telephone_number": "864-725-4673" }, { "address_1": "1506 SPRING ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "GREENWOOD", "country_code": "US", "country_name": "United States", "postal_code": "296464071", "state": "SC", "telephone_number": "864-725-7430" } ], "basic": { "certification_date": "2025-06-18", "credential": "DPM", "enumeration_date": "2019-05-31", "first_name": "STEVEN", "last_name": "ANDREASEN", "last_updated": "2025-06-18", "middle_name": "M", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1559319286000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1750276357000", "number": "1437717857", "other_names": [], "practiceLocations": [ { "address_1": "44 S MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RANDOLPH", "country_code": "US", "country_name": "United States", "postal_code": "050601381", "state": "VT", "telephone_number": "802-728-7000" } ], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056.0000200", "primary": false, "state": "VT", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "790", "primary": true, "state": "SC", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "69 ALLEN ST STE 5", "address_purpose": "MAILING", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-775-0679", "postal_code": "057014564", "state": "VT", "telephone_number": "802-773-7151" }, { "address_1": "69 ALLEN ST", "address_2": "SUITE 8", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-775-0679", "postal_code": "057014564", "state": "VT", "telephone_number": "802-773-7151" } ], "basic": { "authorized_official_credential": "DPM", "authorized_official_first_name": "MARTIN", "authorized_official_last_name": "CARMODY", "authorized_official_middle_name": "G", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8027737151", "authorized_official_title_or_position": "Owner", "certification_date": "2025-02-10", "enumeration_date": "2007-02-06", "last_updated": "2025-02-10", "organization_name": "ASSOCIATES IN PODIATRY PC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1170774476000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1739220232000", "number": "1134268188", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "560000146", "primary": true, "state": "VT", "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "44 S MAIN ST", "address_2": "P.O. BOX 2000", "address_purpose": "MAILING", "address_type": "DOM", "city": "RANDOLPH", "country_code": "US", "country_name": "United States", "fax_number": "802-728-2613", "postal_code": "050601381", "state": "VT", "telephone_number": "802-728-7000" }, { "address_1": "44 S MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RANDOLPH", "country_code": "US", "country_name": "United States", "fax_number": "802-728-2613", "postal_code": "050601381", "state": "VT", "telephone_number": "802-728-7000" } ], "basic": { "credential": "D.P.M.", "enumeration_date": "2006-09-27", "first_name": "NICOLAS", "last_name": "BENOIT", "last_updated": "2010-04-21", "middle_name": "R", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1159375311000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "0000171", "issuer": "Medicare", "state": "VT" }, { "code": "05", "desc": "MEDICAID", "identifier": "1013269", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1271858298000", "number": "1992896948", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "N006103", "primary": false, "state": "NY", "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000180", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "44 S MAIN ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "RANDOLPH", "country_code": "US", "country_name": "United States", "postal_code": "050601381", "state": "VT", "telephone_number": "802-728-7000" }, { "address_1": "44 S MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RANDOLPH", "country_code": "US", "country_name": "United States", "postal_code": "050601381", "state": "VT", "telephone_number": "802-728-7000" } ], "basic": { "certification_date": "2026-03-18", "credential": "D.P.M.", "enumeration_date": "2013-05-03", "first_name": "JONATHAN", "last_name": "BJORK", "last_updated": "2026-03-18", "middle_name": "EDWARD", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1367571667000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1773827012000", "number": "1639514722", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056.0000187", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "308 WILLOW AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "HOBOKEN", "country_code": "US", "country_name": "United States", "postal_code": "070303808", "state": "NJ", "telephone_number": "201-418-1189" }, { "address_1": "308 WILLOW AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "HOBOKEN", "country_code": "US", "country_name": "United States", "postal_code": "070303808", "state": "NJ", "telephone_number": "201-418-1189" } ], "basic": { "certification_date": "2022-08-23", "credential": "DPM", "enumeration_date": "2019-04-04", "first_name": "MICHAEL", "last_name": "BOUCHARD", "last_updated": "2022-08-25", "name_prefix": "Dr.", "name_suffix": "II", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1554415633000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1661463119000", "number": "1801358056", "other_names": [], "practiceLocations": [ { "address_1": "1311 BARRE-MONTPELIER ROAD", "address_2": "SUITE 400", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BERLIN", "country_code": "US", "country_name": "United States", "postal_code": "05602", "state": "VT", "telephone_number": "802-225-3970" } ], "taxonomies": [ { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000201", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "5 COMMONS ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-773-7974", "postal_code": "05701", "state": "VT", "telephone_number": "802-773-8199" }, { "address_1": "5 COMMONS ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-773-7974", "postal_code": "05701", "state": "VT", "telephone_number": "802-773-8199" } ], "basic": { "credential": "DPM", "enumeration_date": "2006-10-12", "first_name": "FRANK", "last_name": "BUGGIANI", "last_updated": "2010-04-02", "middle_name": "P.", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1160659713000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1270237761000", "number": "1487743241", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "0560000082", "primary": true, "state": "VT", "taxonomy_group": "" }, { "code": "332BC3200X", "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment", "license": null, "primary": false, "state": null, "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "19 BELMONT AVE OFC BUILDING", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRATTLEBORO", "country_code": "US", "country_name": "United States", "postal_code": "053017109", "state": "VT", "telephone_number": "802-251-8650" }, { "address_1": "146 GREEN ST UNIT 1", "address_purpose": "MAILING", "address_type": "DOM", "city": "BRATTLEBORO", "country_code": "US", "country_name": "United States", "postal_code": "053016054", "state": "VT", "telephone_number": "607-237-2317" } ], "basic": { "certification_date": "2022-01-26", "credential": "DPM", "enumeration_date": "2018-04-26", "first_name": "ETHAN", "last_name": "BUHL", "last_updated": "2022-01-26", "middle_name": "ANDREW", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1524766892000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3124378", "issuer": null, "state": "NH" }, { "code": "05", "desc": "MEDICAID", "identifier": "6704439", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1643218240000", "number": "1184112062", "other_names": [], "practiceLocations": [ { "address_1": "17 BELMONT AVE", "address_2": "ATTENTION REINA CHAMPNEY", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRATTLEBORO", "country_code": "US", "country_name": "United States", "fax_number": "802-257-8834", "postal_code": "053010530", "state": "VT", "telephone_number": "802-257-0341" } ], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056.0000198", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1540 WILLISTON RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "SOUTH BURLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "054036422", "state": "VT", "telephone_number": "802-862-8666" }, { "address_1": "1540 WILLISTON RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTH BURLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "054036422", "state": "VT", "telephone_number": "802-862-8666" } ], "basic": { "authorized_official_credential": "DPM", "authorized_official_first_name": "MORGAN", "authorized_official_last_name": "HEBERT", "authorized_official_name_prefix": "Dr.", "authorized_official_telephone_number": "8028628666", "authorized_official_title_or_position": "Owner", "certification_date": "2026-01-07", "enumeration_date": "2024-08-09", "last_updated": "2026-01-07", "organization_name": "BURLINGTON PODIATRY", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1723208702000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1767837464000", "number": "1922839273", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "69 ALLEN ST", "address_2": "STE 8", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "postal_code": "057014564", "state": "VT", "telephone_number": "802-773-7151" }, { "address_1": "69 ALLEN ST", "address_2": "STE 8", "address_purpose": "MAILING", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "postal_code": "057014564", "state": "VT" } ], "basic": { "certification_date": "2020-03-02", "credential": "DPM", "enumeration_date": "2007-06-13", "first_name": "MARTIN", "last_name": "CARMODY", "last_updated": "2020-03-02", "middle_name": "G", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1181744847000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0VN0351", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1583162822000", "number": "1417151564", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000146", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "130 FISHER RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BERLIN", "country_code": "US", "country_name": "United States", "fax_number": "802-371-4488", "postal_code": "056029516", "state": "VT", "telephone_number": "802-371-4100" }, { "address_1": "PO BOX 547", "address_purpose": "MAILING", "address_type": "DOM", "city": "BARRE", "country_code": "US", "country_name": "United States", "fax_number": "802-371-4488", "postal_code": "056410547", "state": "VT", "telephone_number": "802-371-4100" } ], "basic": { "authorized_official_first_name": "CHEYENNE", "authorized_official_last_name": "HOLLAND", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8023714109", "authorized_official_title_or_position": "CFO", "certification_date": "2024-02-16", "enumeration_date": "2006-08-08", "last_updated": "2024-02-16", "organization_name": "CENTRAL VERMONT MEDICAL CENTER INC", "organizational_subpart": "YES", "parent_organization_legal_business_name": "CVMC MEDICAL GROUP PRACTICES", "status": "A" }, "created_epoch": "1155042699000", "endpoints": [ { "address_1": "925 N Point Pkwy", "address_type": "DOM", "affiliation": "Y", "affiliationName": "Ciox Health", "city": "Alpharetta", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service", "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'", "endpointType": "CONNECT", "endpointTypeDescription": "CONNECT URL", "postal_code": "300055210", "state": "GA", "use": "OTHER", "useDescription": "Other", "useOtherDescription": "CMS esMD eMDR" } ], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "OVN3891", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1708108966000", "number": "1023028784", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "2084P0800X", "desc": "Psychiatry & Neurology, Psychiatry", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208000000X", "desc": "Pediatrics", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2084N0400X", "desc": "Psychiatry & Neurology, Neurology", "license": null, "primary": false, "state": "VT", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "2084P0804X", "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208600000X", "desc": "Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208800000X", "desc": "Urology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "213E00000X", "desc": "Podiatrist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RC0000X", "desc": "Internal Medicine, Cardiovascular Disease", "license": "762", "primary": false, "state": "VT", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RE0101X", "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism", "license": "762", "primary": false, "state": "VT", "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RR0500X", "desc": "Internal Medicine, Rheumatology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207X00000X", "desc": "Orthopaedic Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207Q00000X", "desc": "Family Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "55 MAIN ST", "address_2": "STE 1", "address_purpose": "MAILING", "address_type": "DOM", "city": "ESSEX JUNCTION", "country_code": "US", "country_name": "United States", "fax_number": "802-879-6969", "postal_code": "054523191", "state": "VT", "telephone_number": "802-879-7992" }, { "address_1": "55 MAIN ST", "address_2": "STE 1", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ESSEX JUNCTION", "country_code": "US", "country_name": "United States", "fax_number": "802-879-6969", "postal_code": "054523191", "state": "VT", "telephone_number": "802-879-7992" } ], "basic": { "authorized_official_credential": "DPM", "authorized_official_first_name": "STEPHEN", "authorized_official_last_name": "MERENA", "authorized_official_middle_name": "JOHN", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8028797992", "authorized_official_title_or_position": "President", "enumeration_date": "2006-10-31", "last_updated": "2020-08-22", "organization_name": "CHAMPLAIN VALLEY FOOT & ANKLE, P.C.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1162352959000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0VN3709", "issuer": null, "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "5468501", "issuer": "Fletcher Allen Preferred", "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "788692", "issuer": "MVP", "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "CHAM00068673", "issuer": "BC/BS", "state": "VT" } ], "last_updated_epoch": "1598100723000", "number": "1366528259", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0131X", "desc": null, "license": "056-0000174", "primary": true, "state": "VT", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "WHITE RIVER JUNCTION VAMC", "address_2": "DESK 90 (112)", "address_purpose": "MAILING", "address_type": "DOM", "city": "WHITE RIVER JUNCTION", "country_code": "US", "country_name": "United States", "fax_number": "802-296-6329", "postal_code": "050090001", "state": "VT", "telephone_number": "802-291-6290" }, { "address_1": "WHITE RIVER JUNCTION VAMC", "address_2": "DESK 90 (112)", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WHITE RIVER JUNCTION", "country_code": "US", "country_name": "United States", "fax_number": "802-296-6329", "postal_code": "050090001", "state": "VT", "telephone_number": "802-291-6290" } ], "basic": { "credential": "DPM", "enumeration_date": "2006-10-16", "first_name": "JOHN", "last_name": "CONNOLLY", "last_updated": "2007-07-08", "middle_name": "EDWARD", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1161029551000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1183948573000", "number": "1316027386", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "0238", "primary": false, "state": "NH", "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000137", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "331 SUMMER ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-9010", "postal_code": "05819", "state": "VT", "telephone_number": "802-748-9400" }, { "address_1": "331 SUMMER ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-9010", "postal_code": "05819", "state": "VT", "telephone_number": "802-748-9400" } ], "basic": { "authorized_official_credential": "DPM", "authorized_official_first_name": "CRAIG", "authorized_official_last_name": "SCHEIN", "authorized_official_middle_name": "S", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8027489400", "authorized_official_title_or_position": "Owner", "enumeration_date": "2008-02-29", "last_updated": "2008-03-28", "organization_name": "CRAIG S SCHEIN DPM", "organizational_subpart": "YES", "parent_organization_legal_business_name": "CRAIG S SCHEIN DPM", "status": "A" }, "created_epoch": "1204320555000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1009116", "issuer": null, "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "480035210", "issuer": "RR Medicare", "state": null }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "5572620001", "issuer": "Medicare DME", "state": null } ], "last_updated_epoch": "1206716388000", "number": "1851560288", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "0560000178", "primary": true, "state": "VT", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 910", "address_purpose": "MAILING", "address_type": "DOM", "city": "GREENFIELD", "country_code": "US", "country_name": "United States", "fax_number": "413-772-8900", "postal_code": "013020910", "state": "MA", "telephone_number": "413-772-8500" }, { "address_1": "382 CANAL ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRATTLEBORO", "country_code": "US", "country_name": "United States", "fax_number": "802-246-1300", "postal_code": "053016617", "state": "VT", "telephone_number": "802-254-0202" } ], "basic": { "authorized_official_credential": "DPM", "authorized_official_first_name": "DAVID", "authorized_official_last_name": "LIEBOW", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8022540202", "authorized_official_title_or_position": "PRESIDENT", "enumeration_date": "2006-07-21", "last_updated": "2010-10-04", "organization_name": "D&K LIEBOW LLC", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1153512366000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1012948", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1286204735000", "number": "1184645723", "other_names": [ { "code": "3", "organization_name": "SOUTHERN VERMONT PODIATRY", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "332B00000X", "desc": "Durable Medical Equipment & Medical Supplies", "license": "056-0000157", "primary": false, "state": "VT", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "542 RAILROAD ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-1919", "postal_code": "058191741", "state": "VT", "telephone_number": "802-748-1918" }, { "address_1": "542 RAILROAD ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-1919", "postal_code": "058191741", "state": "VT", "telephone_number": "802-748-1918" } ], "basic": { "authorized_official_credential": "DPM", "authorized_official_first_name": "DENIS", "authorized_official_last_name": "LAMONTAGNE", "authorized_official_middle_name": "JACQUES", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8027481918", "authorized_official_title_or_position": "OWNER", "enumeration_date": "2008-10-22", "last_updated": "2008-10-22", "organization_name": "DENIS J LAMONTAGNE, DPM", "organizational_subpart": "YES", "parent_organization_legal_business_name": "DENIS J LAMONTAGNE, DPM", "status": "A" }, "created_epoch": "1224702724000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1224702724000", "number": "1578715462", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000155", "primary": true, "state": "VT", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "215 N MAIN ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "WHITE RIVER JUNCTION", "country_code": "US", "country_name": "United States", "postal_code": "050090001", "state": "VT", "telephone_number": "802-295-9363" }, { "address_1": "215 N MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WHITE RIVER JUNCTION", "country_code": "US", "country_name": "United States", "postal_code": "050090001", "state": "VT", "telephone_number": "802-295-9363" } ], "basic": { "credential": "dpm", "enumeration_date": "2006-07-25", "first_name": "JOSEPH", "last_name": "DUGGAN", "last_updated": "2007-07-08", "middle_name": "PATRICK", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1153873196000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1183947785000", "number": "1063435667", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0131X", "desc": null, "license": "n004471-1", "primary": true, "state": "NY", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "69 ALLEN ST STE 1", "address_purpose": "MAILING", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-773-7974", "postal_code": "057014564", "state": "VT", "telephone_number": "802-773-8199" }, { "address_1": "69 ALLEN ST STE 1", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-773-7974", "postal_code": "057014564", "state": "VT", "telephone_number": "802-773-8199" } ], "basic": { "certification_date": "2025-09-03", "credential": "DPM", "enumeration_date": "2012-04-13", "first_name": "JOHANN", "last_name": "ENTINGER", "last_updated": "2025-09-03", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1334327847000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1756876066000", "number": "1942567078", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056.0000205", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "P.O. BOX 127", "address_purpose": "MAILING", "address_type": "DOM", "city": "THETFORD", "country_code": "US", "country_name": "United States", "postal_code": "050740127", "state": "VT", "telephone_number": "802-785-2537" }, { "address_1": "5 COMMONS ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "postal_code": "05701", "state": "VT", "telephone_number": "802-785-2537" } ], "basic": { "credential": "D.P.M.", "enumeration_date": "2006-08-01", "first_name": "WILLIAM", "last_name": "FERRITER", "last_updated": "2013-09-23", "middle_name": "B", "name_prefix": "Dr.", "name_suffix": "Jr.", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1154482963000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "00000063", "issuer": null, "state": "NH" }, { "code": "05", "desc": "MEDICAID", "identifier": "0008242", "issuer": null, "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "0127", "issuer": "LICENSE #", "state": "NH" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "90", "issuer": "STATE LICENSE #", "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "CA11038331", "issuer": "RailRoad Medicare", "state": null } ], "last_updated_epoch": "1379973664000", "number": "1023025251", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "0127", "primary": true, "state": "NH", "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "90", "primary": false, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "424 HANOVER ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "MANCHESTER", "country_code": "US", "country_name": "United States", "fax_number": "603-641-8442", "postal_code": "031045101", "state": "NH", "telephone_number": "603-668-3509" }, { "address_1": "424 HANOVER ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MANCHESTER", "country_code": "US", "country_name": "United States", "fax_number": "603-641-8442", "postal_code": "031045101", "state": "NH", "telephone_number": "603-668-3509" } ], "basic": { "certification_date": "2022-01-18", "credential": "DPM", "enumeration_date": "2018-06-11", "first_name": "BRETON", "last_name": "FOX", "last_updated": "2022-01-18", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1528759472000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1642524729000", "number": "1538652839", "other_names": [], "practiceLocations": [ { "address_1": "100 HOSPITAL DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052015004", "state": "VT", "telephone_number": "802-447-5558" } ], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "0379", "primary": true, "state": "NH", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "061.0000025", "primary": false, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "3 CREST RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "SAINT ALBANS", "country_code": "US", "country_name": "United States", "fax_number": "802-527-0977", "postal_code": "054789753", "state": "VT", "telephone_number": "802-524-8985" }, { "address_1": "3 CREST RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SAINT ALBANS", "country_code": "US", "country_name": "United States", "fax_number": "802-527-0977", "postal_code": "054789753", "state": "VT", "telephone_number": "802-524-8985" } ], "basic": { "credential": "DPM", "enumeration_date": "2005-07-11", "first_name": "DAVID", "last_name": "GROENING", "last_updated": "2016-10-28", "middle_name": "A", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1121102914000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0009242", "issuer": null, "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "480006391", "issuer": "RAILROAD MEDICARE/UHC", "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "54V001", "issuer": "MOHAWK VALLEY PLAN", "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "8318", "issuer": "BCBS", "state": "VT" } ], "last_updated_epoch": "1477672589000", "number": "1962400267", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000124", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1540 WILLISTON RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "SOUTH BURLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "054036422", "state": "VT", "telephone_number": "802-862-8666" }, { "address_1": "1540 WILLISTON RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTH BURLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "054036422", "state": "VT", "telephone_number": "802-862-8666" } ], "basic": { "credential": "D.P.M.", "enumeration_date": "2006-09-16", "first_name": "MICHAEL", "last_name": "GUERRA", "last_updated": "2007-07-08", "middle_name": "J", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1158428104000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1183947785000", "number": "1528164456", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "AG8364058", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "3773 UPPER COLD RIVER RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "SHREWSBURY", "country_code": "US", "country_name": "United States", "postal_code": "057389512", "state": "VT", "telephone_number": "802-775-0966" }, { "address_1": "162 N MAIN ST # 10", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-775-2662", "postal_code": "057013024", "state": "VT", "telephone_number": "802-775-2600" } ], "basic": { "credential": "DPM", "enumeration_date": "2007-04-24", "first_name": "MICHELLE", "last_name": "GUILIANO-KING", "last_updated": "2007-07-08", "middle_name": "A", "name_prefix": "--", "name_suffix": "--", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1177432553000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1183947785000", "number": "1104045822", "other_names": [ { "code": "1", "credential": "DPM", "first_name": "MICHELLE", "last_name": "GUILIANO", "middle_name": "A", "prefix": "--", "suffix": "--", "type": "Former Name" } ], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000176", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1540 WILLISTON RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "SOUTH BURLINGTON", "country_code": "US", "country_name": "United States", "fax_number": "802-862-5493", "postal_code": "054036422", "state": "VT", "telephone_number": "802-862-8666" }, { "address_1": "1540 WILLISTON RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTH BURLINGTON", "country_code": "US", "country_name": "United States", "fax_number": "802-862-5493", "postal_code": "054036422", "state": "VT", "telephone_number": "802-862-8666" } ], "basic": { "certification_date": "2026-01-07", "credential": "DPM", "enumeration_date": "2016-02-15", "first_name": "MORGAN", "last_name": "HEBERT", "last_updated": "2026-01-07", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1455566211000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1767837364000", "number": "1558720870", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "Sc006695", "primary": false, "state": "PA", "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "N0067581", "primary": false, "state": "NY", "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "0560000209", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 547", "address_2": "ATTN: BILLING DEPT", "address_purpose": "MAILING", "address_type": "DOM", "city": "BARRE", "country_code": "US", "country_name": "United States", "fax_number": "802-371-4435", "postal_code": "056410547", "state": "VT", "telephone_number": "802-371-4460" }, { "address_1": "130 FISHER RD", "address_2": "MOB-B SUITE 4", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BERLIN", "country_code": "US", "country_name": "United States", "fax_number": "802-371-4435", "postal_code": "056029516", "state": "VT", "telephone_number": "802-371-4460" } ], "basic": { "credential": "DPM", "enumeration_date": "2012-07-18", "first_name": "CIARA", "last_name": "HOLLISTER", "last_updated": "2016-11-04", "name_prefix": "Dr.", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1342643156000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1478279384000", "number": "1720333438", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "1291", "primary": false, "state": "MA", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056.0000190", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1311 BARRE MONTPELIER ROAD", "address_2": "SUITE 400", "address_purpose": "MAILING", "address_type": "DOM", "city": "BERLIN", "country_code": "US", "country_name": "United States", "fax_number": "802-225-3984", "postal_code": "05641", "state": "VT", "telephone_number": "802-371-4100" }, { "address_1": "1311 BARRE MONTPELIER ROAD", "address_2": "SUITE 400", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BERLIN", "country_code": "US", "country_name": "United States", "fax_number": "802-225-3984", "postal_code": "05641", "state": "VT", "telephone_number": "802-371-4100" } ], "basic": { "certification_date": "2021-12-06", "credential": "D.P.M.", "enumeration_date": "2008-03-19", "first_name": "MARIA", "last_name": "IBANEZ", "last_updated": "2021-12-10", "middle_name": "TERESA", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1205980762000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1639145531000", "number": "1477724201", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "PO3750", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056.0000199", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "289 COUNTY RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WINDSOR", "country_code": "US", "country_name": "United States", "fax_number": "802-674-7314", "postal_code": "050899000", "state": "VT", "telephone_number": "802-674-7300" }, { "address_1": "289 COUNTY RD", "address_purpose": "MAILING", "address_type": "DOM", "city": "WINDSOR", "country_code": "US", "country_name": "United States", "fax_number": "802-674-7314", "postal_code": "050899000", "state": "VT", "telephone_number": "802-674-7300" } ], "basic": { "certification_date": "2021-03-09", "credential": "DPM", "enumeration_date": "2007-04-24", "first_name": "JEFFREY", "last_name": "KING", "last_updated": "2021-03-09", "middle_name": "R", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1177431414000", "endpoints": [ { "address_1": "289 County Rd", "address_type": "DOM", "affiliation": "N", "city": "Windsor", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "jeffreyrking@mahhc.cernerdirect.com", "endpointType": "DIRECT", "endpointTypeDescription": "Direct Messaging Address", "postal_code": "050899000", "state": "VT", "useDescription": "" } ], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0VN2018", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1615328194000", "number": "1306065115", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000171", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "542 RAILROAD ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-1919", "postal_code": "058191741", "state": "VT", "telephone_number": "802-748-1918" }, { "address_1": "542 RAILROAD ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-1919", "postal_code": "058191741", "state": "VT", "telephone_number": "802-748-1918" } ], "basic": { "credential": "DPM", "enumeration_date": "2005-09-21", "first_name": "DENIS", "last_name": "LAMONTAGNE", "last_updated": "2008-07-02", "middle_name": "JACQUES", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1127329466000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "0303844Y0VT01", "issuer": "ANTHEM BCBS OF NH", "state": "NH" }, { "code": "05", "desc": "MEDICAID", "identifier": "0VN0820", "issuer": null, "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "180790", "issuer": "CIGNA HEALTHCARE", "state": null }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "19128", "issuer": "VT BCBS", "state": "VT" }, { "code": "05", "desc": "MEDICAID", "identifier": "30006563", "issuer": null, "state": "NH" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "989503", "issuer": "MVP HEALTHCARE", "state": null } ], "last_updated_epoch": "1215019262000", "number": "1174519516", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056-0000155", "primary": true, "state": "VT", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "0259", "primary": false, "state": "NH", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "382 CANAL ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRATTLEBORO", "country_code": "US", "country_name": "United States", "fax_number": "802-246-1300", "postal_code": "053016617", "state": "VT", "telephone_number": "802-254-0202" }, { "address_1": "PO BOX 910", "address_purpose": "MAILING", "address_type": "DOM", "city": "GREENFIELD", "country_code": "US", "country_name": "United States", "fax_number": "413-772-8900", "postal_code": "013020910", "state": "MA", "telephone_number": "413-772-8500" } ], "basic": { "credential": "D.P.M.", "enumeration_date": "2005-10-26", "first_name": "DAVID", "last_name": "LIEBOW", "last_updated": "2011-05-09", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1130345468000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "19943", "issuer": "BC/BS VT", "state": "VT" }, { "code": "05", "desc": "MEDICAID", "identifier": "30007741", "issuer": null, "state": "NH" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "78569", "issuer": "MVP", "state": "VT" }, { "code": "05", "desc": "MEDICAID", "identifier": "OVN0942", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1304963513000", "number": "1245220615", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "0560000157", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "PO BOX 910", "address_purpose": "MAILING", "address_type": "DOM", "city": "GREENFIELD", "country_code": "US", "country_name": "United States", "fax_number": "413-772-8900", "postal_code": "013020910", "state": "MA", "telephone_number": "413-772-8500" }, { "address_1": "382 CANAL ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRATTLEBORO", "country_code": "US", "country_name": "United States", "fax_number": "802-246-1300", "postal_code": "053016617", "state": "VT", "telephone_number": "802-254-0202" } ], "basic": { "credential": "D.P.M.", "enumeration_date": "2005-10-26", "first_name": "KIMBERLY", "last_name": "LIEBOW", "last_updated": "2011-05-09", "name_prefix": "--", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1130345822000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "01", "desc": "Other (non-Medicare)", "identifier": "0300788Y0VT01", "issuer": "BC/BS NH", "state": "NH" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "28994", "issuer": "BC/BS VT", "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "81421", "issuer": "MVP", "state": "VT" }, { "code": "05", "desc": "MEDICAID", "identifier": "OVN1397", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1304964081000", "number": "1316937782", "other_names": [ { "code": "1", "first_name": "KIMBERLY", "last_name": "CULP", "prefix": "--", "suffix": "--", "type": "Former Name" } ], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "0560000167", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "142 WESTERN AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "BRATTLEBORO", "country_code": "US", "country_name": "United States", "postal_code": "053016101", "state": "VT", "telephone_number": "802-257-7913" }, { "address_1": "142 WESTERN AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRATTLEBORO", "country_code": "US", "country_name": "United States", "fax_number": "802-257-7913", "postal_code": "053016101", "state": "VT", "telephone_number": "802-257-7913" } ], "basic": { "credential": "DPM", "enumeration_date": "2005-09-29", "first_name": "RAYMOND", "last_name": "MARIANI", "last_updated": "2007-07-08", "middle_name": "LEO", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1128004428000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0008307", "issuer": null, "state": "VT" }, { "code": "05", "desc": "MEDICAID", "identifier": "0323934", "issuer": null, "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "P00160777", "issuer": "RR Medicare", "state": null } ], "last_updated_epoch": "1183948571000", "number": "1932196631", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "VT78", "primary": true, "state": "VT", "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "NH116", "primary": false, "state": "NH", "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "MA1390", "primary": false, "state": "MA", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "555 WASHINGTON HWY", "address_purpose": "MAILING", "address_type": "DOM", "city": "MORRISVILLE", "country_code": "US", "country_name": "United States", "fax_number": "802-888-8406", "postal_code": "056618972", "state": "VT", "telephone_number": "802-888-8405" }, { "address_1": "555 WASHINGTON HWY", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MORRISVILLE", "country_code": "US", "country_name": "United States", "fax_number": "802-888-8406", "postal_code": "056618972", "state": "VT", "telephone_number": "802-888-8405" } ], "basic": { "certification_date": "2023-07-19", "credential": "DPM", "enumeration_date": "2006-08-14", "first_name": "KEVIN", "last_name": "MCNAMARA", "last_updated": "2023-07-19", "middle_name": "A.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1155579787000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1003078", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1689768842000", "number": "1609889377", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "0560000138", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "192 TILLEY DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "SOUTH BURLINGTON", "country_code": "US", "country_name": "United States", "fax_number": "802-847-3828", "postal_code": "054034440", "state": "VT", "telephone_number": "802-847-2663" }, { "address_1": "192 TILLEY DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTH BURLINGTON", "country_code": "US", "country_name": "United States", "fax_number": "802-847-3828", "postal_code": "054034440", "state": "VT", "telephone_number": "802-847-2663" } ], "basic": { "credential": "DPM", "enumeration_date": "2006-07-09", "first_name": "STEPHEN", "last_name": "MERENA", "last_updated": "2015-01-15", "middle_name": "JOHN", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1152432308000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0VN2096", "issuer": null, "state": "VT" }, { "code": "01", "desc": "Other (non-Medicare)", "identifier": "48378", "issuer": "BC/BS", "state": "VT" } ], "last_updated_epoch": "1421334516000", "number": "1194758557", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0131X", "desc": null, "license": "056-0000174", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "76 COURT ST", "address_2": "PO BOX 586", "address_purpose": "MAILING", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-3566", "postal_code": "057531419", "state": "VT", "telephone_number": "802-388-1200" }, { "address_1": "76 COURT ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-3566", "postal_code": "057531419", "state": "VT", "telephone_number": "802-388-1200" } ], "basic": { "authorized_official_credential": "DPM", "authorized_official_first_name": "PETER", "authorized_official_last_name": "MILLER", "authorized_official_middle_name": "ANDREW", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8023881200", "authorized_official_title_or_position": "President", "enumeration_date": "2007-04-10", "last_updated": "2020-08-22", "organization_name": "MIDDLEBURY FOOT CARE, INC.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1176231547000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0VN2229", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1598100723000", "number": "1629291737", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000156", "primary": true, "state": "VT", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "65 SAINT JAMES CIR", "address_purpose": "MAILING", "address_type": "DOM", "city": "NEWTON", "country_code": "US", "country_name": "United States", "postal_code": "024581728", "state": "MA", "telephone_number": "315-663-6412" }, { "address_1": "130 FISHER RD STE 4", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BERLIN", "country_code": "US", "country_name": "United States", "fax_number": "802-371-4435", "postal_code": "056029516", "state": "VT", "telephone_number": "802-371-4460" } ], "basic": { "credential": "DPM", "enumeration_date": "2014-06-11", "first_name": "ALISON", "last_name": "MIGONIS", "last_updated": "2022-07-21", "middle_name": "MARIE", "name_prefix": "--", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1402484581000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1658438107000", "number": "1558774117", "other_names": [ { "code": "1", "first_name": "ALISON", "last_name": "LESHER", "middle_name": "MARIE", "prefix": "--", "suffix": "--", "type": "Former Name" } ], "practiceLocations": [ { "address_1": "185 PILGRIM RD", "address_2": "PODIATRY-SPAN 3", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BOSTON", "country_code": "US", "country_name": "United States", "postal_code": "022155324", "state": "MA", "telephone_number": "617-632-8428" } ], "taxonomies": [ { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056.0000192", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "76 COURT ST", "address_2": "P.O. BOX 586", "address_purpose": "MAILING", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-3566", "postal_code": "057531419", "state": "VT", "telephone_number": "802-388-1200" }, { "address_1": "76 COURT ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-3566", "postal_code": "057531419", "state": "VT", "telephone_number": "802-388-1200" } ], "basic": { "credential": "DPM", "enumeration_date": "2005-07-12", "first_name": "PETER", "last_name": "MILLER", "last_updated": "2007-07-09", "middle_name": "ANDREW", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1121188652000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0VN0544", "issuer": null, "state": "VT" }, { "code": "05", "desc": "MEDICAID", "identifier": "0VN2229", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1183957886000", "number": "1134127384", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000150", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1290 HOSPITAL DR STE 1", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-9010", "postal_code": "058199205", "state": "VT", "telephone_number": "802-748-9400" }, { "address_1": "PO BOX 905", "address_purpose": "MAILING", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-4098", "postal_code": "058190905", "state": "VT", "telephone_number": "802-748-8141" } ], "basic": { "authorized_official_first_name": "ANDRE", "authorized_official_last_name": "BISSONNETTE", "authorized_official_telephone_number": "8027487520", "authorized_official_title_or_position": "Chief Financial Officer", "certification_date": "2023-04-06", "enumeration_date": "2022-02-09", "last_updated": "2023-04-06", "organization_name": "NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1644432697000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "3136919", "issuer": null, "state": "NH" }, { "code": "05", "desc": "MEDICAID", "identifier": "6710925", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1680783792000", "number": "1710631635", "other_names": [ { "code": "3", "organization_name": "NVRH PODIATRY CLINIC", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "69 ALLEN ST STE 6", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-773-7974", "postal_code": "057014564", "state": "VT", "telephone_number": "802-773-8199" }, { "address_1": "69 ALLEN ST STE 1", "address_purpose": "MAILING", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-773-7974", "postal_code": "057014564", "state": "VT", "telephone_number": "802-773-8199" } ], "basic": { "certification_date": "2023-06-14", "credential": "DPM", "enumeration_date": "2017-06-18", "first_name": "IAN", "last_name": "ODIGIE", "last_updated": "2023-06-14", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1497824725000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1686762309000", "number": "1356871792", "other_names": [], "practiceLocations": [ { "address_1": "160 ALLEN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RUTLAND", "country_code": "US", "country_name": "United States", "fax_number": "802-747-6207", "postal_code": "057014560", "state": "VT", "telephone_number": "802-775-7111" } ], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056.0000197", "primary": true, "state": "VT", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "SC006803", "primary": false, "state": "PA", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "100 HOSPITAL DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052015004", "state": "VT", "telephone_number": "802-442-6361" }, { "address_1": "100 HOSPITAL DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052015004", "state": "VT", "telephone_number": "802-442-6361" } ], "basic": { "credential": "DPM", "enumeration_date": "2016-07-08", "first_name": "MCCAMIE", "last_name": "PATTERSON", "last_updated": "2018-11-05", "middle_name": "DEARMON", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1468005807000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1541448433000", "number": "1376995746", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "061.0000021", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "76 COURT ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-3566", "postal_code": "057531419", "state": "VT", "telephone_number": "802-388-1200" }, { "address_1": "76 COURT ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-3566", "postal_code": "057531419", "state": "VT", "telephone_number": "802-388-1200" } ], "basic": { "authorized_official_first_name": "STEVE", "authorized_official_last_name": "CIAMPA", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8023884705", "authorized_official_title_or_position": "CFO", "enumeration_date": "2015-02-20", "last_updated": "2015-04-23", "organization_name": "PORTER HOSPITAL", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1424461549000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1024500", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1429804384000", "number": "1881086353", "other_names": [ { "code": "3", "organization_name": "PORTER HOSPITAL INC DBA MIDDLEBURY FOOT CARE", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000150", "primary": true, "state": "VT", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "82 CATAMOUNT PARK", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-3445", "postal_code": "05753", "state": "VT", "telephone_number": "802-388-7185" }, { "address_1": "104 PORTER DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-5696", "postal_code": "057538527", "state": "VT", "telephone_number": "802-388-5682" } ], "basic": { "authorized_official_first_name": "JENNIFER", "authorized_official_last_name": "BETRAND", "authorized_official_name_prefix": "--", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8023884752", "authorized_official_title_or_position": "CFO", "certification_date": "2024-02-17", "enumeration_date": "2009-12-03", "last_updated": "2024-02-17", "organization_name": "PORTER HOSPITAL, INC", "organizational_subpart": "YES", "parent_organization_legal_business_name": "PORTER HOSPITAL INC", "status": "A" }, "created_epoch": "1259870442000", "endpoints": [ { "address_1": "925 N Point Pkwy", "address_type": "DOM", "affiliation": "Y", "affiliationName": "Ciox Health", "city": "Alpharetta", "contentTypeDescription": "", "country_code": "US", "country_name": "United States", "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service", "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'", "endpointType": "CONNECT", "endpointTypeDescription": "CONNECT URL", "postal_code": "300055210", "state": "GA", "use": "OTHER", "useDescription": "Other", "useOtherDescription": "CMS esMD eMDR" } ], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1017116", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1708179915000", "number": "1134457013", "other_names": [ { "code": "3", "organization_name": "PORTER MEDICAL GROUP", "type": "Doing Business As" } ], "practiceLocations": [ { "address_1": "115 PORTER DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-5614", "postal_code": "057538423", "state": "VT", "telephone_number": "802-382-3443" }, { "address_1": "116 PORTER DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-5657", "postal_code": "057538501", "state": "VT", "telephone_number": "802-388-7037" }, { "address_1": "116 PORTER DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-4904", "postal_code": "057538501", "state": "VT", "telephone_number": "802-388-6326" }, { "address_1": "1436 EXCHANGE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-4881", "postal_code": "057534497", "state": "VT", "telephone_number": "802-388-3194" }, { "address_1": "1330 EXCHANGE ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-8136", "postal_code": "057534464", "state": "VT", "telephone_number": "802-388-7959" }, { "address_1": "76 COURT ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-3566", "postal_code": "057531419", "state": "VT", "telephone_number": "802-388-1200" }, { "address_1": "61 COURT DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRANDON", "country_code": "US", "country_name": "United States", "fax_number": "802-247-4560", "postal_code": "057338407", "state": "VT", "telephone_number": "802-247-3756" }, { "address_1": "61 PINE ST BLDG 4", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BRISTOL", "country_code": "US", "country_name": "United States", "fax_number": "802-453-4815", "postal_code": "054431043", "state": "VT", "telephone_number": "802-453-7422" }, { "address_1": "82 CATAMOUNT PARK", "address_purpose": "LOCATION", "address_type": "DOM", "city": "MIDDLEBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-388-3445", "postal_code": "057531292", "state": "VT", "telephone_number": "802-388-7185" }, { "address_1": "10 NORTH ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "VERGENNES", "country_code": "US", "country_name": "United States", "fax_number": "802-877-1188", "postal_code": "054911107", "state": "VT", "telephone_number": "802-877-3466" } ], "taxonomies": [ { "code": "207RC0000X", "desc": "Internal Medicine, Cardiovascular Disease", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207RI0011X", "desc": "Internal Medicine, Interventional Cardiology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207V00000X", "desc": "Obstetrics & Gynecology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "176B00000X", "desc": "Midwife", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207R00000X", "desc": "Internal Medicine", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207X00000X", "desc": "Orthopaedic Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207Y00000X", "desc": "Otolaryngology", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208000000X", "desc": "Pediatrics", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208600000X", "desc": "Surgery", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "208M00000X", "desc": "Hospitalist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "213E00000X", "desc": "Podiatrist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "231H00000X", "desc": "Audiologist", "license": null, "primary": false, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" }, { "code": "207Q00000X", "desc": "Family Medicine", "license": null, "primary": true, "state": null, "taxonomy_group": "193200000X - Multi-Specialty Group" } ] }, { "addresses": [ { "address_1": "1540 WILLISTON RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SOUTH BURLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "054036422", "state": "VT", "telephone_number": "802-862-8666" }, { "address_1": "304 COMMUNITY DR", "address_2": "APT 2J", "address_purpose": "MAILING", "address_type": "DOM", "city": "MANHASSET", "country_code": "US", "country_name": "United States", "postal_code": "110303834", "state": "NY", "telephone_number": "631-512-2021" } ], "basic": { "credential": "DPM", "enumeration_date": "2011-01-26", "first_name": "ANGELA", "last_name": "RAIMO", "last_updated": "2011-10-07", "middle_name": "MARY", "name_prefix": "Dr.", "name_suffix": "--", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1296060882000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1318019263000", "number": "1023313848", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "6420", "primary": false, "state": "NY", "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "056-0000182", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "213 SCHOOL ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052012510", "state": "VT", "telephone_number": "802-442-8448" }, { "address_1": "900 STATE RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "NORTH ADAMS", "country_code": "US", "country_name": "United States", "postal_code": "012473030", "state": "MA", "telephone_number": "413-664-9391" } ], "basic": { "authorized_official_credential": "D.P.M.", "authorized_official_first_name": "RICHARD", "authorized_official_last_name": "DONELA", "authorized_official_middle_name": "S.", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8024428448", "authorized_official_title_or_position": "Physician/Owner", "enumeration_date": "2007-12-19", "last_updated": "2009-04-03", "organization_name": "RICHARD S. DONELA", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1198094060000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "6303897", "issuer": null, "state": "MA" } ], "last_updated_epoch": "1238789059000", "number": "1518141035", "other_names": [ { "code": "3", "organization_name": "TRI-STATE PODIATRY", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "213ES0131X", "desc": null, "license": "1602", "primary": true, "state": "MA", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "213 SCHOOL ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052012510", "state": "VT", "telephone_number": "802-442-8448" }, { "address_1": "ADIRONDACK MEDICAL CENTER", "address_2": "29 CHURCH ST.", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LAKE PLACID", "country_code": "US", "country_name": "United States", "postal_code": "12946", "state": "NY", "telephone_number": "518-523-8345" } ], "basic": { "authorized_official_credential": "D.P.M.", "authorized_official_first_name": "RICHARD", "authorized_official_last_name": "DONELA", "authorized_official_middle_name": "S", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "5185238345", "authorized_official_title_or_position": "Physician/Owner", "enumeration_date": "2007-12-20", "last_updated": "2011-12-05", "organization_name": "RICHARD S. DONELA", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1198180937000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1323109989000", "number": "1053595496", "other_names": [ { "code": "3", "organization_name": "TRI-STATE PODIATRY", "type": "Doing Business As" } ], "practiceLocations": [], "taxonomies": [ { "code": "213ES0131X", "desc": null, "license": "2533", "primary": true, "state": "NY", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "213 SCHOOL ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052012510", "state": "VT", "telephone_number": "802-442-8448" }, { "address_1": "213 SCHOOL ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052012510", "state": "VT", "telephone_number": "802-442-8448" } ], "basic": { "authorized_official_credential": "D.P.M.", "authorized_official_first_name": "RICHARD", "authorized_official_last_name": "DONELA", "authorized_official_middle_name": "S", "authorized_official_name_prefix": "Dr.", "authorized_official_name_suffix": "--", "authorized_official_telephone_number": "8024428448", "authorized_official_title_or_position": "Physician/Owner", "enumeration_date": "2007-12-19", "last_updated": "2009-04-03", "organization_name": "RICHARD S. DONELA", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1198094630000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "0008312", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1238789691000", "number": "1861676389", "other_names": [ { "code": "4", "organization_name": "TRI-STATE PODIATRY", "type": "Former Legal Business Name" } ], "practiceLocations": [], "taxonomies": [ { "code": "213ES0131X", "desc": null, "license": "89", "primary": true, "state": "VT", "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "PO BOX 2000", "address_purpose": "MAILING", "address_type": "DOM", "city": "RANDOLPH", "country_code": "US", "country_name": "United States", "fax_number": "802-728-2394", "postal_code": "050602000", "state": "VT", "telephone_number": "802-728-7000" }, { "address_1": "44 S MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RANDOLPH", "country_code": "US", "country_name": "United States", "fax_number": "802-728-2394", "postal_code": "050601381", "state": "VT", "telephone_number": "802-728-7000" } ], "basic": { "credential": "D.P.M.", "enumeration_date": "2006-08-31", "first_name": "ROBERT", "last_name": "RINALDI", "last_updated": "2007-07-09", "name_prefix": "--", "name_suffix": "--", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1157013014000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "1009326", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1183957886000", "number": "1124139712", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "0560000086", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "100 HOSPITAL DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "fax_number": "802-447-5436", "postal_code": "052015004", "state": "VT", "telephone_number": "802-447-5558" }, { "address_1": "100 HOSPITAL DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "fax_number": "802-447-5436", "postal_code": "052015004", "state": "VT", "telephone_number": "802-447-5558" } ], "basic": { "certification_date": "2020-08-04", "credential": "DPM", "enumeration_date": "2019-06-26", "first_name": "NATHALIE", "last_name": "SANTOS", "last_updated": "2020-08-04", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1561555392000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1596551241000", "number": "1508427980", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": "P102851", "primary": false, "state": "NY", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "061.0000031", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "343 DEWEY ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "fax_number": "802-442-2748", "postal_code": "052012253", "state": "VT", "telephone_number": "802-442-2034" }, { "address_1": "343 DEWEY ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "fax_number": "802-442-2748", "postal_code": "052012253", "state": "VT", "telephone_number": "802-442-2034" } ], "basic": { "credential": "D.P.M.", "enumeration_date": "2006-06-14", "first_name": "WILLIAM", "last_name": "SARCHINO", "last_updated": "2007-11-14", "middle_name": "J", "name_prefix": "Dr.", "name_suffix": "--", "sex": "M", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1150338232000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "01157666", "issuer": null, "state": "NY" }, { "code": "05", "desc": "MEDICAID", "identifier": "0VN2038", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1195065761000", "number": "1982647889", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056-0000159", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "386 MERRIMACK ST STE 1B", "address_purpose": "LOCATION", "address_type": "DOM", "city": "METHUEN", "country_code": "US", "country_name": "United States", "fax_number": "978-975-3585", "postal_code": "018445886", "state": "MA", "telephone_number": "978-682-0382" }, { "address_1": "100 HOSPITAL DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052015004", "state": "VT", "telephone_number": "802-447-5558" } ], "basic": { "certification_date": "2023-09-06", "enumeration_date": "2020-06-18", "first_name": "DARYL", "last_name": "SILVA", "last_updated": "2023-09-06", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1592487584000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1694036781000", "number": "1306462106", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "PDF2546", "primary": true, "state": "MA", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "10 ALICE PECK DAY DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LEBANON", "country_code": "US", "country_name": "United States", "postal_code": "037662900", "state": "NH", "telephone_number": "603-448-3121" }, { "address_1": "10 ALICE PECK DAY DR", "address_purpose": "MAILING", "address_type": "DOM", "city": "LEBANON", "country_code": "US", "country_name": "United States", "postal_code": "037662900", "state": "NH", "telephone_number": "603-448-3121" } ], "basic": { "certification_date": "2022-01-26", "credential": "D.P.M.", "enumeration_date": "2007-10-25", "first_name": "PAUL", "last_name": "SMITH", "last_updated": "2022-01-26", "middle_name": "ROBERT", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1193319906000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1643248767000", "number": "1275712390", "other_names": [], "practiceLocations": [ { "address_1": "12 SHIPPEE LANE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SHARON", "country_code": "US", "country_name": "United States", "postal_code": "050650506", "state": "VT", "telephone_number": "802-763-8000" }, { "address_1": "1 MEDICAL CENTER DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "LEBANON", "country_code": "US", "country_name": "United States", "postal_code": "037560001", "state": "NH", "telephone_number": "603-650-5922" }, { "address_1": "44 S MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "RANDOLPH", "country_code": "US", "country_name": "United States", "postal_code": "050601381", "state": "VT", "telephone_number": "802-728-7000" } ], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "0378", "primary": false, "state": "NH", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "0560000181", "primary": false, "state": "VT", "taxonomy_group": "" }, { "code": "213ES0131X", "desc": null, "license": "0378", "primary": false, "state": "NH", "taxonomy_group": "" }, { "code": "213ES0000X", "desc": "Podiatrist, Sports Medicine", "license": "0378", "primary": true, "state": "NH", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "192 TILLEY DR.", "address_2": "UVM MEDICAL CENTER/ORTHOPEDICS, FOOT & ANKLE", "address_purpose": "MAILING", "address_type": "DOM", "city": "S. BURLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "05401", "state": "VT", "telephone_number": "802-847-4690" }, { "address_1": "192 TILLEY DR.", "address_2": "UVM MEDICAL CENTER/ORTHOPEDICS, FOOT & ANKLE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "S. BURLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "05401", "state": "VT", "telephone_number": "802-847-4690" } ], "basic": { "credential": "D.P.M.", "enumeration_date": "2013-07-05", "first_name": "LARA", "last_name": "STONE", "last_updated": "2016-09-02", "middle_name": "M.", "name_prefix": "Dr.", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1373079956000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1472847412000", "number": "1821439852", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "LPR00124", "primary": false, "state": "RI", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "CLPR00124", "primary": false, "state": "MA", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "056.0000191", "primary": true, "state": "VT", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "163 VETERANS DRIVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WHITE RIVER JUNCTION", "country_code": "US", "country_name": "United States", "postal_code": "050094728", "state": "VT", "telephone_number": "413-478-6320" }, { "address_1": "241 OHIO AVE", "address_purpose": "MAILING", "address_type": "DOM", "city": "WEST SPRINGFIELD", "country_code": "US", "country_name": "United States", "postal_code": "010892124", "state": "MA", "telephone_number": "413-478-6320" } ], "basic": { "certification_date": "2025-05-12", "credential": "DPM", "enumeration_date": "2020-07-01", "first_name": "JOSEPH", "last_name": "WEAVER", "last_updated": "2025-05-12", "middle_name": "ALLARD", "name_prefix": "Dr.", "sex": "M", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1593604243000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1747072636000", "number": "1518584051", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "LPR00220", "primary": true, "state": "RI", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "80 POND ST", "address_2": "APT 6", "address_purpose": "MAILING", "address_type": "DOM", "city": "LUDLOW", "country_code": "US", "country_name": "United States", "postal_code": "051499814", "state": "VT" }, { "address_1": "215 N MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "WHITE RIVER JUNCTION", "country_code": "US", "country_name": "United States", "postal_code": "050090001", "state": "VT", "telephone_number": "802-291-6290" } ], "basic": { "credential": "DPM", "enumeration_date": "2006-09-06", "first_name": "CAROLINE", "last_name": "WHITTINGTON", "last_updated": "2007-07-08", "middle_name": "ELIZABETH", "name_prefix": "--", "name_suffix": "--", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1157539294000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1183947785000", "number": "1982707188", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "624", "primary": true, "state": "CO", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "343 DEWEY ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052012253", "state": "VT", "telephone_number": "802-442-2034" }, { "address_1": "343 DEWEY ST", "address_purpose": "MAILING", "address_type": "DOM", "city": "BENNINGTON", "country_code": "US", "country_name": "United States", "postal_code": "052012253", "state": "VT", "telephone_number": "802-442-2034" } ], "basic": { "authorized_official_first_name": "CHARMANE", "authorized_official_last_name": "DOW", "authorized_official_telephone_number": "5186929060", "authorized_official_title_or_position": "Office Manager", "enumeration_date": "2018-12-31", "last_updated": "2019-01-02", "organization_name": "WILLIAM J SARCHINO, DPM", "organizational_subpart": "NO", "status": "A" }, "created_epoch": "1546283148000", "endpoints": [], "enumeration_type": "NPI-2", "identifiers": [], "last_updated_epoch": "1546460474000", "number": "1770055816", "other_names": [], "practiceLocations": [], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": null, "primary": true, "state": null, "taxonomy_group": "193400000X - Single Specialty Group" } ] }, { "addresses": [ { "address_1": "260 CHRISTOPHER LN STE 102A", "address_purpose": "MAILING", "address_type": "DOM", "city": "STATEN ISLAND", "country_code": "US", "country_name": "United States", "postal_code": "103141631", "state": "NY", "telephone_number": "646-921-0907" }, { "address_1": "43 STARR FARM RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BURLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "054081321", "state": "VT", "telephone_number": "646-921-0907" } ], "basic": { "certification_date": "2026-05-11", "credential": "DPM", "enumeration_date": "2021-03-29", "first_name": "MEAGHAN", "last_name": "WOOD", "last_updated": "2026-05-11", "middle_name": "CECILIA", "name_prefix": "Dr.", "sex": "F", "sole_proprietor": "YES", "status": "A" }, "created_epoch": "1617020193000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [], "last_updated_epoch": "1778514883000", "number": "1134706625", "other_names": [], "practiceLocations": [ { "address_1": "98 STARR FARM RD", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BURLINGTON", "country_code": "US", "country_name": "United States", "postal_code": "054081323", "state": "VT", "telephone_number": "646-921-0907" }, { "address_1": "475 ETHAN ALLEN AVE", "address_purpose": "LOCATION", "address_type": "DOM", "city": "COLCHESTER", "country_code": "US", "country_name": "United States", "postal_code": "054463312", "state": "VT", "telephone_number": "646-921-0907" }, { "address_1": "1511 CLEMENT ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "SAN FRANCISCO", "country_code": "US", "country_name": "United States", "postal_code": "941181031", "state": "CA", "telephone_number": "415-387-5556" } ], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "056.0000210", "primary": false, "state": "VT", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "E6230", "primary": true, "state": "CA", "taxonomy_group": "" }, { "code": "213ES0103X", "desc": "Podiatrist, Foot & Ankle Surgery", "license": "135.001117", "primary": false, "state": "IL", "taxonomy_group": "" } ] }, { "addresses": [ { "address_1": "1290 HOSPITAL DR STE 1", "address_purpose": "LOCATION", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-9010", "postal_code": "058199205", "state": "VT", "telephone_number": "802-748-9400" }, { "address_1": "PO BOX 905", "address_purpose": "MAILING", "address_type": "DOM", "city": "ST JOHNSBURY", "country_code": "US", "country_name": "United States", "fax_number": "802-748-4098", "postal_code": "058190905", "state": "VT", "telephone_number": "802-748-8141" } ], "basic": { "certification_date": "2024-11-04", "credential": "DPM", "enumeration_date": "2016-04-15", "first_name": "SARA", "last_name": "ZAIDI", "last_updated": "2024-11-04", "middle_name": "AZHAR", "sex": "F", "sole_proprietor": "NO", "status": "A" }, "created_epoch": "1460745239000", "endpoints": [], "enumeration_type": "NPI-1", "identifiers": [ { "code": "05", "desc": "MEDICAID", "identifier": "6714045", "issuer": null, "state": "VT" } ], "last_updated_epoch": "1730738272000", "number": "1588018527", "other_names": [], "practiceLocations": [ { "address_1": "2157 MAIN ST", "address_purpose": "LOCATION", "address_type": "DOM", "city": "BUFFALO", "country_code": "US", "country_name": "United States", "postal_code": "142142648", "state": "NY", "telephone_number": "716-862-1475" }, { "address_1": "221 GREENWICH CIR STE 105", "address_purpose": "LOCATION", "address_type": "DOM", "city": "JUPITER", "country_code": "US", "country_name": "United States", "fax_number": "561-799-0062", "postal_code": "334582892", "state": "FL", "telephone_number": "561-799-9581" }, { "address_1": "2664 SW IMMANUEL DR", "address_purpose": "LOCATION", "address_type": "DOM", "city": "PALM CITY", "country_code": "US", "country_name": "United States", "fax_number": "772-288-3341", "postal_code": "349902738", "state": "FL", "telephone_number": "772-288-3338" } ], "taxonomies": [ { "code": "213E00000X", "desc": "Podiatrist", "license": "PO4087", "primary": false, "state": "FL", "taxonomy_group": "" }, { "code": "390200000X", "desc": "Student in an Organized Health Care Education/Training Program", "license": null, "primary": false, "state": null, "taxonomy_group": "" }, { "code": "213E00000X", "desc": "Podiatrist", "license": "056.0000207", "primary": true, "state": "VT", "taxonomy_group": "" } ] } ] }