PREMA R MENON (NPI# 1346445624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346445624 |
| Entity Type | Individual |
| Full Name | PREMA R MENON |
| Credential | MD |
| Practice Address |
111 Colchester Ave Pulmonary and Critical Care Division Fahc Burlington VT 05405-3421 |
| Mailing Address |
89 Beaumont Ave Given D208d Burlington VT 05405-1742 |
| Practice Telephone | 8028471558 |
| Practice Fax Number | 8028472444 |
| Mailing Telephone | 8026563525 |
| Mailing Fax Number | 8026563526 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0420012263 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200872260A | 05 |
| Street Address |
111 COLCHESTER AVE PULMONARY AND CRITICAL CARE DIVISION FAHC |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05405-3421 |
| 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 |
|---|---|---|---|---|
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326477233 | Aasim Mohammed | Internal Medicine | 116 N Dodge St Ste 201, Burlington, WI 53105-1963 | 2013-11-01 |
| 1457421497 | Wagoner Medical Center, LLC | Internal Medicine | 605 East 7th Street, Burlington, IN 46915-0038 | 2006-11-08 |
| 1831205673 | Susan Patricia Dunning | Internal Medicine | 1 South Prospect Street, Arnold 2, Uvm Medical Center, Burlington, VT 05401 | 2006-08-22 |
| 1093737975 | Nova Medical Associates LLC | Internal Medicine | 2991 Crouse Ln, Burlington, NC 27215-8833 | 2006-07-23 |
| 1467433169 | Anil Khurana | Internal Medicine | 252 Mchenry St Ste 140, Burlington, WI 53105-1828 | 2005-11-09 |
| 1386085033 | Ramasubramanian Baalachandran | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-07-10 |
| 1710320056 | Marta Kokoszynska | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-04-16 |
| 1619230059 | Dhaval Thakkar | Internal Medicine | 41 Mall Rd, Burlington, MA 01805-0001 | 2012-06-20 |
| 1336448778 | Jessica Badlam | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401 | 2011-03-24 |
| 1053545459 | Daniel Scott Fitelson | Internal Medicine | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2009-05-13 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05405 |
Please comment or provide details below to improve the information on PREMA R MENON.
| 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.