Provider Demographics
NPI:1679388920
Name:VERMONT PLASTIC SURGERY PLC
Entity type:Organization
Organization Name:VERMONT PLASTIC SURGERY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:802-755-5752
Mailing Address - Street 1:372 HURRICANE LN STE 201
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-2080
Mailing Address - Country:US
Mailing Address - Phone:802-755-5752
Mailing Address - Fax:
Practice Address - Street 1:372 HURRICANE LN STE 201
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-2080
Practice Address - Country:US
Practice Address - Phone:802-755-5752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty