DR. JUAN PABLO PERDOMO RODRIGUEZ (NPI# 1942556907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942556907 |
| Entity Type | Individual |
| Full Name | DR. JUAN PABLO PERDOMO RODRIGUEZ |
| Credential | MD |
| Practice Address |
62 Tilley Dr Ste 202 South Burlington VT 05403-4407 |
| Practice Telephone | 8028474576 |
| Mailing Telephone | 8028474576 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2017-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT202655 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
042.0013735 | VT | Allopathic & Osteopathic Physicians |
| Street Address |
62 TILLEY DR STE 202 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104867779 | Jennifer J Kelly | Internal Medicine | 62 Tilley Dr Ste 202, South Burlington, VT 05403-4407 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1104867779 | Jennifer J Kelly | Internal Medicine | 62 Tilley Dr Ste 202, South Burlington, VT 05403-4407 | 2006-06-08 |
| 1073634531 | Matthew Philip Gilbert | Internal Medicine | 3 Timber Ln, South Burlington, VT 05403-7205 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871768010 | Elliot Danforth Jr. | Internal Medicine | 84 Beartown Rd, Underhill, VT 05489-9365 | 2008-04-29 |
| 1821029166 | John L. Glick | Internal Medicine | 19 Belmont Ave Ste 1205, Brattleboro, VT 05301-4004 | 2006-07-05 |
| 1659338085 | Cesar H Magsino Jr. | Internal Medicine | 8 Albert Cree Dr, Rutland, VT 05701 | 2006-04-28 |
| 1922658921 | Northwestern Medical Center, Inc. | Internal Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-09-12 |
| 1184179103 | Tina Kader | Internal Medicine | 111 Colchester Ave, Uvm Medical Center, Burlington, VT 05401-1473 | 2016-08-19 |
| 1710232467 | Maria Jose Velasco | Internal Medicine | 130 Fisher Rd, Berlin, VT 05602-9516 | 2012-07-18 |
| 1598859480 | John Lewis Leahy | Internal Medicine | 1 S Prospect St, 5th Floor - Endocrine, Burlington, VT 05401-3456 | 2006-10-03 |
| 1528162039 | Barbara Anne O'mara | Internal Medicine | 215 N Main St, Va, White River Junction, VT 05009-0001 | 2006-09-13 |
| 1689778110 | Andrew Jay Bauman | Internal Medicine | 215 N Main St, White River Junction, VT 05009-0001 | 2006-09-13 |
| 1154334142 | Joel J Schnure | Internal Medicine | 1 S Prospect St, Uhc 5th Floor, Burlington, VT 05401-3456 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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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.