NPI 1275585689 · live from the CMS NPI Registry
Clarence Sherman Ivie, D.O.
Anesthesiology in Burlington, VT. National Provider Identifier 1275585689, active.
NPI record
| NPI | 1275585689 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 111 Colchester Ave, Wp-2, Burlington, VT 05401 |
| Practice phone | 802-847-2415 |
| Mailing address | 111 Colchester Ave, Burlington, VT 05401 |
| Enumerated | May 16, 2006 |
| Last updated | May 23, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 032-0000512 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.