DANIELSON SURGICAL ASSOCIATES (NPI# 1760431878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760431878 |
| Entity Type | Organization |
| Organization Name | DANIELSON SURGICAL ASSOCIATES |
| Practice Address |
1290 Hospital Dr St Johnsbury VT 05819-9205 |
| Practice Telephone | 8027482984 |
| Mailing Telephone | 8027482984 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2012-04-06 |
| Authorized Official Name | DR. KENNETH S DANIELSON (OWNER) |
| Authorized Official Telephone | 8027482984 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | RAIL ROAD MEDICARE | I3397 | 01 |
| VT | OVN1579 | 05 |
| Street Address |
1290 HOSPITAL DR |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265497 | Stephen J Phipps | Ophthalmology | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-19 |
| 1962654335 | David S Brody, Md | General Practice | 1290 Hospital Dr, Suite 2, St Johnsbury, VT 05819-9205 | 2008-10-16 |
| 1720037252 | Kenneth S. Danielson | Internal Medicine | 1290 Hospital Dr, St Johnsbury, VT 05819-9205 | 2006-05-10 |
| 1881643203 | Christopher S. Danielson | Surgery | 1290 Hospital Dr, St Johnsbury, VT 05819-9205 | 2006-05-10 |
| 1366419897 | Eye Associates of Northern New England | Durable Medical Equipment & Medical Supplies | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2006-03-03 |
| 1659347508 | Eye Associates of Northern New England, LLP | Optometrist | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2006-02-28 |
| 1376529115 | David Brody | General Practice | 1290 Hospital Dr, Ste 2, St Johnsbury, VT 05819-9239 | 2005-12-22 |
| 1467448613 | Brian J Mawhinney | Optometrist | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-23 |
| 1871589366 | Ted Vj Houle | Ophthalmology | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-21 |
| 1649266149 | Paul M Lindstrom | Optometrist | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342114 | Actd,llc | Clinic/Center | 593 Hercules Dr, Colchester, VT 05446-0544 | 2018-07-17 |
| 1831368356 | Vermont Eye Surgery & Laser Center | Clinic/Center | 1100 Hinesburg Rd, Suite 101, South Burlington, VT 05403-7613 | 2008-02-28 |
| 1861690075 | Paul G. Boerman, PC | Clinic/Center | 44 Timber Ln, South Burlington, VT 05403-7204 | 2007-07-10 |
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on DANIELSON SURGICAL ASSOCIATES.
| 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.