MICHAEL EDMOND THERIAULT (NPI# 1083078539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083078539 |
| Entity Type | Individual |
| Full Name | MICHAEL EDMOND THERIAULT |
| Credential | M.D. |
| Practice Address |
89 Beaumont Ave Given D401 Burlington VT 05405-1742 |
| Mailing Address |
65 Muriel Ln Feeding Hills MA 01030-2642 |
| Practice Telephone | 8028472700 |
| Mailing Telephone | 4138968971 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
89 BEAUMONT AVE GIVEN D401 |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05405-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780650382 | Ryan D. Clouser | Internal Medicine | 89 Beaumont Ave, Given D208, Burlington, VT 05405-1742 | 2006-02-24 |
| 1306462890 | Max Silverstein | Student in an Organized Health Care Education/Training Program | 89 Beaumont Ave, Burlington, VT 05405-1742 | 2020-06-19 |
| 1053930941 | Sidika Kajtezovic | Student in an Organized Health Care Education/Training Program | 89 Beaumont Ave, Burlington, VT 05405-1742 | 2020-04-11 |
| 1588291389 | Bradley Michael Weitz | Student in an Organized Health Care Education/Training Program | 89 Beaumont Ave, Burlington, VT 05405-1742 | 2020-03-24 |
| 1679951529 | Andrew Lamar | Student in an Organized Health Care Education/Training Program | 89 Beaumont Ave, Courtyard At Given S269, Burlington, VT 05405-1742 | 2015-05-12 |
| 1427294271 | Gurpreet Singh Lamba | Internal Medicine | 89 Beaumont Ave, Given E 214, Burlington, VT 05405-1742 | 2008-12-29 |
| 1154538262 | Kim Lynnette Dittus | Internal Medicine | 89 Beaumont Ave, Given Bldg E214, Burlington, VT 05405-1742 | 2007-05-17 |
| 1679697775 | Amer Khaled Abu Alfa | Pathology | 89 Beaumont Ave, Burlington, VT 05405-6147 | 2007-03-16 |
| 1528190113 | Michelle Marie Sowden | Surgery | 89 Beaumont Ave, Given Building - B227, Burlington, VT 05405-1742 | 2007-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760971667 | Erin A Deloye | Student in an Organized Health Care Education/Training Program | University of Vermont Atep- Department of Rms, Rowell Building 106 Carrigan Drive, Burlington, VT 05405 | 2018-05-07 |
| 1740717040 | Corey Gibeault | Audiologist | Eleanor M. Luse Center 489 Main Street, Pomeroy Hall, Burlington, VT 05405 | 2017-05-17 |
| 1427260652 | Julian Ruffin Sprague | Internal Medicine | 89 Beaumont Ave., Given Building E214, Burlington, VT 05405 | 2007-05-03 |
| 1043731268 | Hamilton Stockton Iv | Student in an Organized Health Care Education/Training Program | University of Vermont, Burlington, VT 05405 | 2017-06-28 |
| 1669916425 | Stephanie Lynn Hollop | Audiologist | 489 Main St, Burlington, VT 05405 | 2016-12-14 |
| 1932247434 | University of Vermont and State Agricultural College | Speech-Language Pathologist | 489 Main Street, University of Vermont Pomeroy Hall, Burlington, VT 05405 | 2007-02-05 |
| 1386169134 | Courtney Celeste White | Specialist/Technologist | 002 Rowell Hall, Burlington, VT 05405-0001 | 2017-08-12 |
| 1518321140 | Michael Duncan Kem | Anesthesiology | Uvm Medical Center Dept of Anesthesiology, 111 Colchester Ave, 222wp2, Burlington, VT 05405-0001 | 2016-04-09 |
| 1952796559 | John Steele Taylor Jr. | Psychiatry & Neurology | University of Vermont College of Medicine, 89 Beaumont Drive, Given D401, Burlington, VT 05405-0001 | 2015-03-31 |
| 1407296221 | Natalie Wilson | Student in an Organized Health Care Education/Training Program | University of Vermont Dept of Pediatrics, S-253 Given Courtyard 89 Beaumont Avenue, Burlington, VT 05405-0001 | 2013-06-25 |
| Find all providers in zip 05405 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496759 | Ivanna Jeniferr Joseph | Student in an Organized Health Care Education/Training Program | 733 Arboretum Way, Burlington, MA 01803-3833 | 2020-08-05 |
| 1437769858 | Moh'd Rasheed Abu-qaoud | Student in an Organized Health Care Education/Training Program | 78 Center St, Burlington, MA 01803-3035 | 2020-08-01 |
| 1437776424 | Adam Bradley Wiggins | Student in an Organized Health Care Education/Training Program | Lahey Clinic 41 Mall Road, Burlington, MA 01805-0001 | 2020-06-25 |
| 1326660465 | Hemali Ashish Patel | Student in an Organized Health Care Education/Training Program | 3 Goodwin Dr, Burlington, MA 01803-1048 | 2020-05-12 |
| 1861012544 | Ohan Manoukian | Student in an Organized Health Care Education/Training Program | 4 Marrett Rd, Burlington, MA 01803-4007 | 2020-04-22 |
| 1437787611 | Karamatullah Danyal | Student in an Organized Health Care Education/Training Program | Karamatullah Danyal (uvmmc), 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-04-01 |
| 1790313120 | Kyna Donohue | Student in an Organized Health Care Education/Training Program | 46 Lafountain St Apt 2, Burlington, VT 05401-4237 | 2020-03-31 |
| 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 |
| 1598398752 | Scott Kevin Olehnik | Student in an Organized Health Care Education/Training Program | 89 Beaumont Ave # 368, Burlington, VT 05405-1742 | 2020-02-17 |
| 1407499247 | Amy Packer | Student in an Organized Health Care Education/Training Program | 83 N Willard St, Burlington, VT 05401-3312 | 2019-10-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05405 |
Please comment or provide details below to improve the information on MICHAEL EDMOND THERIAULT.
| 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.