DR. THOMAS WILLSON (NPI# 1043530819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043530819 |
| Entity Type | Individual |
| Full Name | DR. THOMAS WILLSON |
| Practice Address |
111 Colchester Ave Burlington VT 05401 |
| Mailing Address |
354 Mountain View Dr Ste 103 Colchester VT 05446-5923 |
| Practice Telephone | 8028473340 |
| Mailing Telephone | 8028473340 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 042.0014025 | VT | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | A129361 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036.130308 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124196407 | Thomas C Willson Iv | Physical Therapist | 6 Puchala Dr, Parlin, NJ 08859-2179 | 2006-12-02 |
| 1184947681 | Thomas Joseph Willson | Otolaryngology | 3551 Roger Brooke Dr, Department of Otolaryngology, San Antonio, TX 78234-4504 | 2010-03-11 |
| Street Address |
111 COLCHESTER AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548354 | Richard A. Boothby | Obstetrics & Gynecology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2005-06-16 |
| 1992304513 | Jennifer Smith Henry | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-23 |
| 1922606581 | Jessica Fischer | Dietitian, Registered | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-15 |
| 1922615855 | Emily R Pichler | Psychologist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-09-24 |
| 1285257618 | Nadia Stefania Fletcher | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-05-20 |
| 1538781380 | Jeffrey Raymond Gonzalez | Pharmacist | 111 Colchester Ave, Mailstop 272ba1, Burlington, VT 05401 | 2020-05-15 |
| 1588292874 | Breshawn Best | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1528696853 | Nektarios Konstantinopoulos | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1457989071 | Siddique Tanzeem Akram | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-30 |
| 1184252124 | Steven Direda II | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497898142 | Victor K Au | Plastic Surgery | 2272 Lakeview Terrace, Burlington, NC 27215 | 2007-02-14 |
| 1528086071 | David Bryan | Plastic Surgery | Lahey Clinic, 41 Mall Rd, Burlington, MA 01805-0001 | 2006-07-17 |
| 1023059631 | Sonal N. Pandya | Plastic Surgery | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-06-08 |
| 1164479705 | Christine Anne Diedwardo | Plastic Surgery | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-05-28 |
| 1134188659 | Adam James Vernadakis | Plastic Surgery | 41 Mall Rd, Lahey Clinic, Inc. - Plastic Surgery, Burlington, MA 01805-0001 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750488839 | Kevin Maguire | Plastic Surgery | 354 Mountain View Dr., 103, Uvm Medical Center, Surgery/plastics, Colchester, VT 05446 | 2006-09-20 |
| 1376536383 | John C Wheeler | Plastic Surgery | 92 Allen St, Rutland, VT 05701-4562 | 2005-08-24 |
| 1699259648 | Mountain Lake Plastic Surgery Plc | Plastic Surgery | 105 Westview Rd Ste 120, Colchester, VT 05446-8025 | 2018-09-17 |
| 1790815801 | Wheeler Plastic & Reconstructive Surgery,inc | Plastic Surgery | 92 Allen St, Rutland, VT 05701-4562 | 2007-03-07 |
| City | BURLINGTON |
| Zip Code | 05401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.