Champlain Sports Medicine PC
Neuromusculoskeletal Medicine, Sports Medicine in Essex Junction, Vermont
1518106491- Practice location
- 67 Lincoln St, Essex Junction, VT 05452-3235
- Phone
- 802-878-1003
- Fax
- 802-878-9966
- Last updated
- June 13, 2017
Champlain Sports Medicine PC is a healthcare organization based in Essex Junction, VT. Champlain Sports Medicine PC practices in Essex Junction, VT. The NPI Number for Champlain Sports Medicine PC is 1518106491 and holds a License No. 0320000304 (VT). The current practice location address for Champlain Sports Medicine PC is 67 Lincoln St, Essex Junction, VT 05452-3235 and can be reached out via phone at 802-878-1003 and via fax at 802-878-9966.
Provider Profile Details
- NPI Number
- 1518106491
- Provider Name
- Champlain Sports Medicine PC
- Provider Entity Type
- Organization
- Address
- 67 Lincoln St, Essex Junction, VT 05452-3235
- Phone Number
- 802-878-1003
- Fax Number
- 802-878-9966
- Primary Taxonomy
- Neuromusculoskeletal Medicine, Sports Medicine · 204C00000X
- Organization Subpart
- No
- Authorized Official
- Dr. John Russell Johansson, DO · Owner/Physician · 802-878-1003
- Provider Enumeration Date
- February 17, 2009
- Last Update Date
- June 13, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 67 Lincoln St
Essex Junction, VT 05452-3235 - City
- Essex Junction
- State
- Vermont
- Zip
- 05452-3235
- Phone Number
- 802-878-1003
- Fax Number
- 802-878-9966
Provider Business Mailing Address Details
- Address
- 67 Lincoln St
Essex Junction, VT 05452-3235 - City
- Essex Junction
- State
- VT
- Zip
- 05452-3235
- Phone Number
- 802-878-1003
- Fax Number
- 802-878-9966
License Information
- Taxonomy (1)
- Neuromusculoskeletal Medicine, Sports Medicine · 204C00000X
- License Number (2)
- 0320000304
- License State (2)
- VT
- Taxonomy (2)
- Neuromusculoskeletal Medicine, Sports Medicine · 204C00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Neuromusculoskeletal Medicine, Sports Medicine providers near Essex Junction, VT
View all Neuromusculoskeletal Medicine, Sports Medicine providers in Essex Junction →- Dr. John R Johansson, DONeuromusculoskeletal Medicine, Sports Medicine · NPI 1316005960
- Thomas Direnzo, DPTPhysical Therapist · NPI 1699675637
- Abigail KolvoordNurse Practitioner, Family · NPI 1083514863
- Tina Brownley-StevensonNurse Practitioner, Family · NPI 1730549031
- Sarah E Matt, RNRegistered Nurse, Gerontology · NPI 1477459964
- Mrs. Meghan Keefe, MA, BCBABehavior Analyst · NPI 1174428072
Frequently Asked Questions
What is the NPI number of Champlain Sports Medicine PC?
The NPI number of Champlain Sports Medicine PC is 1518106491. It was assigned on February 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Champlain Sports Medicine PC?
Champlain Sports Medicine PC is registered under the primary taxonomy Neuromusculoskeletal Medicine, Sports Medicine (code 204C00000X), licensed in VT under license number 0320000304.
Where does Champlain Sports Medicine PC practice?
The practice location is 67 Lincoln St, Essex Junction, VT 05452-3235. The office can be reached at 802-878-1003 (phone) or 802-878-9966 (fax).
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 1518106491 directly on the NPPES registry website.