Active NPIIndividual provider

Tomas T Ensalata, PA-C

Physician Assistant, Medical in Rutland, Vermont

NPI Number1215704416
Practice location
8 Commons St, Rutland, VT 05701-4651
Fax
—
Last updated
December 14, 2023

Tomas T. Ensalata is a Physician Assistant, Medical based in Rutland, VT. Tomas T. Ensalata practices in Rutland, VT and has the professional credentials of PA-C. The NPI Number for Tomas T. Ensalata is 1215704416 and holds a License No. 055.0031731 (VT). The current practice location address for Tomas T. Ensalata is 8 Commons St, Rutland, VT 05701-4651 and can be reached out via phone at 802-770-1805.

Provider Profile Details

NPI Number
1215704416
Provider Name
Tomas T. Ensalata
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
8 Commons St, Rutland, VT 05701-4651
Phone Number
802-770-1805
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
December 7, 2023
Last Update Date
December 14, 2023
Certification Date
December 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Commons St
Rutland, VT 05701-4651
State
Vermont
Zip
05701-4651
Phone Number
802-770-1805
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
1057 Maple St
Vergennes, VT 05491-8527
City
Vergennes
State
VT
Zip
05491-8527
Phone Number
802-233-1447

License Information

License Number
055.0031731
License State
VT
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tomas T Ensalata, PA-C?

The NPI number of Tomas T Ensalata, PA-C is 1215704416. It was assigned on December 7, 2023 and is currently active in the NPPES registry.

What is the specialty of Tomas T Ensalata, PA-C?

Tomas T Ensalata, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 055.0031731.

Where does Tomas T Ensalata, PA-C practice?

The practice location is 8 Commons St, Rutland, VT 05701-4651. The office can be reached at 802-770-1805 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215704416 directly on the NPPES registry website.

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