Lake Champlain Gynecologic Oncology, PC
NPI 1164418455 · Gynecologic Oncology Physician · South Burlington, VT
Lake Champlain Gynecologic Oncology, PC is a Gynecologic Oncology Physician organization in South Burlington, VT (NPI 1164418455).
Provider details
- NPI number
- 1164418455
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gamal Eltabbakh, President(802) 859-9500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-22
- Last updated
- 2013-05-23
Frequently asked questions
- What is Lake Champlain Gynecologic Oncology, PC's NPI number?
- Lake Champlain Gynecologic Oncology, PC's National Provider Identifier (NPI) is 1164418455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Champlain Gynecologic Oncology, PC?
- Lake Champlain Gynecologic Oncology, PC is classified in the NPPES registry as Gynecologic Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Champlain Gynecologic Oncology, PC located?
- Lake Champlain Gynecologic Oncology, PC's practice location on file with NPPES is 1060 Hinesburg Rd, South Burlington, VT 05403-7612.
- What is Lake Champlain Gynecologic Oncology, PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Champlain Gynecologic Oncology, PC is (802) 859-9500.
- Who is the authorized official for Lake Champlain Gynecologic Oncology, PC?
- The authorized official listed on Lake Champlain Gynecologic Oncology, PC's NPPES record is Gamal Eltabbakh, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Champlain Gynecologic Oncology, PC's NPI active?
- Yes — Lake Champlain Gynecologic Oncology, PC's NPI (1164418455) is active in the NPPES registry as of the last update on 2013-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.