PISANELLI SURGICAL ASSOCIATES, INC. (NPI# 1205972031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205972031 |
| Entity Type | Organization |
| Organization Name | PISANELLI SURGICAL ASSOCIATES, INC. |
| Practice Address |
69 Allen St Suite 6 Rutland VT 05701-4564 |
| Practice Telephone | 8027732900 |
| Practice Fax Number | 8027753377 |
| Mailing Telephone | 8027732900 |
| Mailing Fax Number | 8027753377 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VICTOR J. PISANELLI JR. (OWNER) |
| Authorized Official Telephone | 8027732900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0002375 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PISANELLI SURGICAL ASSOCIATES, INC. P.C. | 69 Allen St., Rutland, VT 05701 |
| Street Address |
69 ALLEN ST SUITE 6 |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913003 | Robert W Hartenstein | Audiologist | 69 Allen St, Ste 2, Rutland, VT 05701-4564 | 2005-06-23 |
| 1285108951 | Riley Ballard | Specialist/Technologist | 69 Allen St, Rutland, VT 05701-4564 | 2019-01-16 |
| 1902144405 | Peter C. Stickney, Md PC | Internal Medicine | 69 Allen St, Suite #5, Rutland, VT 05701-4590 | 2013-01-18 |
| 1831449412 | Glenn Anthony Gregory | Dentist | 69 Allen St, Suite 10, Rutland, VT 05701-4564 | 2012-09-11 |
| 1720397805 | Christopher Allen Nisbet | Optometrist | 69 Allen St, Suite 15, Rutland, VT 05701-4564 | 2010-10-06 |
| 1639301153 | Elizabeth H. Foley, M. D., PC | Dermatology | 69 Allen St, Suite #14, Rutland, VT 05701-4564 | 2009-08-17 |
| 1427283282 | Mid Vermont Healthcare | Nurse Practitioner | 69 Allen St, Suite 10, Rutland, VT 05701-4564 | 2009-05-22 |
| 1053511147 | Vermont Optical Corp | Eyewear Supplier (Equipment, not the service) | 69 Allen St, Suite 15, Rutland, VT 05701-4564 | 2007-07-18 |
| 1417151564 | Martin G Carmody | Podiatrist | 69 Allen St, Ste 8, Rutland, VT 05701-4564 | 2007-06-13 |
| 1609079763 | Center for Integrative Medicine | Specialist | 69 Allen St, Suite 9, Rutland, VT 05701-4564 | 2007-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588615363 | John C Louras | Surgery | 241 Stratton Rd, Rutland, VT 05701-4621 | 2006-05-15 |
| 1528019387 | Matthew A Conway | Surgery | 241 Stratton Road, Rutland, VT 05701-4621 | 2006-05-15 |
| 1467892893 | Michael Hurtado | Surgery | 6 Commons St, Rutland, VT 05701 | 2013-06-29 |
| 1669715728 | Audrey C Dudzik | Surgery | 6 Commons St, Rutland, VT 05701 | 2013-03-27 |
| 1871690099 | Maple Tree General Surgery | Surgery | 215 Stratton Rd, Rutland, VT 05701-4621 | 2006-09-20 |
| 1609890037 | James Perry | Surgery | 160 Allen St, Rutland, VT 05701-4560 | 2006-07-27 |
| 1104843077 | Victor J Pisanelli Jr. | Surgery | 241 Stratton Rd, Rutland, VT 05701-4621 | 2006-07-16 |
| 1437184637 | Brad Lee Jimmo | Surgery | 215 Stratton Rd, Rutland, VT 05701-4621 | 2006-07-12 |
| 1689610099 | Rutland Surgical Associates Inc | Surgery | 241 Stratton Road, Rutland, VT 05701-4621 | 2006-06-22 |
| 1003883869 | Eric James Marsh | Surgery | 3 Albert Cree Dr, Vermont Orthpaedic Clinic, Rutland, VT 05701-4601 | 2006-03-01 |
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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.