DR. JEFFREY PANTANO (NPI# 1295187300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295187300 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY PANTANO |
| Credential | DPM |
| Practice Address |
100 Hospital Dr Bennington VT 05201-5004 |
| Mailing Address |
221 Depot St Bennington VT 05201-1815 |
| Practice Telephone | 8024426361 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
061.0000020 | VT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | MEDICAL LICENSE NUMBER | 061.0000020 | 01 |
| Street Address |
100 HOSPITAL DR |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530029 | Kelsey Buran | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-08-29 |
| 1982212478 | Daniel Hennessey | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-07-21 |
| 1306462106 | Daryl Silva | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-06-18 |
| 1720625833 | William B Smith | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5013 | 2019-12-09 |
| 1528613155 | Christine Lynne Burke | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-08-09 |
| 1508427980 | Nathalie Santos | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-26 |
| 1588223002 | Gon Saman | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-08 |
| 1891276374 | Tracie Ann Crawford | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-08-23 |
| 1922585231 | Mark Epler | Physical Therapist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-20 |
| 1619453958 | Mary Campbell | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286974 | Elite Foot and Ankle Specialists | Podiatrist | 16312 Sheffield Cir, Bennington, NE 68007-1863 | 2013-11-20 |
| 1982647889 | William J Sarchino | Podiatrist | 343 Dewey St, Bennington, VT 05201-2253 | 2006-06-14 |
| 1982212478 | Daniel Hennessey | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-07-21 |
| 1306462106 | Daryl Silva | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-06-18 |
| 1508427980 | Nathalie Santos | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-26 |
| 1588223002 | Gon Saman | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-08 |
| 1538652839 | Breton Fox | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-06-11 |
| 1942793708 | Shazad Ashraf Buksh | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-06-07 |
| 1871023960 | Cody Clarke Anderson | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2017-06-12 |
| 1376995746 | Mccamie Dearmon Patterson | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2016-07-08 |
| Find all providers in BENNINGTON | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
Please comment or provide details below to improve the information on DR. JEFFREY PANTANO.
| 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.