Edwin Goncharuk, DO
Internal Medicine, Gastroenterology in Burlington, Vermont
1255872453- Practice location
- 111 Colchester Ave, Uvmmc, Burlington, VT 05401-1473
- Phone
- 802-847-2345
- Fax
- —
- Last updated
- August 27, 2025
Edwin Goncharuk is an Internal Medicine, Gastroenterology based in Burlington, VT. Edwin Goncharuk practices in Burlington, VT and has the professional credentials of DO. The NPI Number for Edwin Goncharuk is 1255872453 and holds a License No. 032-0133900 (VT). The current practice location address for Edwin Goncharuk is 111 Colchester Ave, Uvmmc, Burlington, VT 05401-1473 and can be reached out via phone at 802-847-2345.
Provider Profile Details
- NPI Number
- 1255872453
- Provider Name
- Edwin Goncharuk
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 Colchester Ave, Uvmmc, Burlington, VT 05401-1473
- Phone Number
- 802-847-2345
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 20, 2017
- Last Update Date
- August 27, 2025
- Certification Date
- August 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Colchester Ave
Uvmmc
Burlington, VT 05401-1473 - City
- Burlington
- State
- Vermont
- Zip
- 05401-1473
- Phone Number
- 802-847-2345
Provider Business Mailing Address Details
- Address
- 111 Colchester Ave
Uvmmc
Burlington, VT 05401-1473 - City
- Burlington
- State
- VT
- Zip
- 05401-1473
License Information
- License Number (1)
- 032-0133900
- License State (1)
- VT
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 330524
- License State (2)
- NY
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X
- License Number (3)
- 032-0133900
- License State (3)
- VT
- Taxonomy (3)
- Hospitalist · 208M00000X
- License Number (4)
- 032-0133900
- License State (4)
- VT
- Taxonomy (4)
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Gastroenterology providers near Burlington, VT
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Frequently Asked Questions
What is the NPI number of Edwin Goncharuk, DO?
The NPI number of Edwin Goncharuk, DO is 1255872453. It was assigned on March 20, 2017 and is currently active in the NPPES registry.
What is the specialty of Edwin Goncharuk, DO?
Edwin Goncharuk, DO is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in VT under license number 032-0133900.
Where does Edwin Goncharuk, DO practice?
The practice location is 111 Colchester Ave, Uvmmc, Burlington, VT 05401-1473. The office can be reached at 802-847-2345 (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 1255872453 directly on the NPPES registry website.