Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1063477925 Deactivated / Inactive NPI Male Practitioner

Dr. James W Stackpole , MD

Pediatrics • South Burlington, VT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Stackpole has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 20, 2006
NPI Deactivation Date November 14, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. James Stackpole, MD was a registered Pediatrics practicing in South Burlington, VT. Throughout an active medical career spanning 11 years, Dr. Stackpole provided care at the practice location at 51 TIMBER LN until profile deactivation on 2017-11-14.

Practice Location & Contact Primary Location

Practice Address

51 Timber Ln

South Burlington, VT 054035201

Telephone 8028640521
Fax 8028646475
Associated Practice Facility / Clinic
🏢 Primary Care Health Partners Facility NPI 1295792745

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in South Burlington, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
18 Specialists

Practicing in South Burlington, VT (186 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VT 042-0002382

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Leah Flore , FNP

Nurse Practitioner - Family

NPI 1013972116

Family Nurse Practitioner

NPI 1063478501

Doctor of Medicine (M.D.)

NPI 1235194333

Doctor of Medicine (M.D.)

NPI 1326292269

Doctor of Medicine (M.D.)

NPI 1336105899

Doctor of Medicine (M.D.)

Rebecca Nagle , NP

Nurse Practitioner

NPI 1346433851

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 14, 2017

Record deactivated on November 14, 2017

NPI Profile Active December 29, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 29, 2009

Registered at 51 TIMBER LN, SOUTH BURLINGTON, VT 054035201 (Tel: 8028640521)

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Updated Business Mailing Address December 29, 2009

Registered at 600 BLAIR PARK RD, SUITE 190, WILLISTON, VT 054957586 (Tel: 8022881145)

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Provider Name / Credentials Updated December 29, 2009

Recorded as JAMES STACKPOLE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2009

Pediatrics (License #042-0002382 in VT)

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Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063477925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2006
Last Update: December 29, 2009
Deactivation Date: November 14, 2017

Mailing Address

600 Blair Park Rd, Suite 190

Williston, VT 054957586

Phone: 8022881145

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.