SUSAN WHITMAN PA NPI 1326149220

NPI Information

NPI: 1326149220
Provider Name: SUSAN WHITMAN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
425 PEARL ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 656-3350
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Susan Whitman, PA is a medical physician assistant in Burlington, VT. Susan Whitman, PA NPI is 1326149220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

425 PEARL ST
BURLINGTON, VT
ZIP 05401-308
Phone: (802) 656-3350
Fax: (802) 656-8001

The enumeration date for this NPI number is 9/26/2006 and was last updated on 9/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0550030747	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	69001	OTHER		BLUE CROSS BLUE SHIELD
2	9000241	MEDICAID	VERMONT
3	69001	OTHER		VERMONT MANAGED CARE
4	793628	OTHER		MVP
5	0030747	OTHER		FLETCHER ALLEN PREFERRED
6	Q59673	MEDICARE UPIN	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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