NORTHERN VERMONT DERMATOLOGY, PLC (NPI# 1922593060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922593060 |
| Entity Type | Organization |
| Organization Name | NORTHERN VERMONT DERMATOLOGY, PLC |
| Practice Address |
53 Fairfax Rd Ste 2 Saint Albans VT 05478-4405 |
| Practice Telephone | 8336883376 |
| Mailing Telephone | 8336883376 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | STEPHANIE DAWN NEIDER (OWNER) |
| Authorized Official Telephone | 8336883376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
0420013164 | VT | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Farrell St Ste 200, South Burlington, VT 054036395 | 8336883376 |
| Street Address |
53 FAIRFAX RD STE 2 |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063572907 | Julie Hsiao-wen Lin | Dermatology | 53 Fairfax Rd Ste 2, Saint Albans, VT 05478-4405 | 2006-12-11 |
| 1346735164 | Northwestern Medical Center, Inc. | Surgery | 53 Fairfax Rd Ste 2, Saint Albans, VT 05478-4405 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
| 1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
| 1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
| 1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
| 1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
| 1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
| Find all providers in zip 05478 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396945622 | Dr. Dorothy Nene Ogundu, Md, PC | Clinic/Center | 11455 Farmers Blvd, 1st Floor, Saint Albans, NY 11412-2740 | 2007-07-24 |
| 1811405616 | Holistic, Inc | Clinic/Center | 303 6th Ave, Saint Albans, WV 25177-2838 | 2018-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514991 | Avena Integrative Medicine | Clinic/Center | 453 Stone Cutters Way, Montpelier, VT 05602-4431 | 2020-10-05 |
| 1215466107 | Haig Physical Medicine Plc | Clinic/Center | 373 Blair Park Rd Ste 206, Williston, VT 05495-7998 | 2017-06-05 |
| 1508106360 | Harris Integrative Health & Nutrition PC | Clinic/Center | 129 S Craftsbury Rd, Craftsbury, VT 05826-9026 | 2013-02-15 |
| 1376075804 | Benjamin Physical Medicine, Plc | Clinic/Center | 373 Blair Park Rd, Ste 206, Williston, VT 05495-7998 | 2017-04-03 |
| 1295193803 | Terrance J. Ryan D.c., P.C. | Clinic/Center | 366 River St, Springfield, VT 05156-2242 | 2016-02-10 |
| 1508131152 | Chiropractic Care Center Inc | Clinic/Center | 19 Green Mountain Road, Manchester Center, VT 05255-1228 | 2012-03-15 |
| 1720376593 | Arthritis & Rheumatology Center, Plc | Clinic/Center | 245 S Park Dr, Suite 5, Colchester, VT 05446-5972 | 2011-07-14 |
| 1356538078 | New England Dermatology, PC | Clinic/Center | 160 Palmer Ct, Unit B2, White River Junction, VT 05001-9061 | 2007-09-26 |
| 1154403996 | Champlain Valley Orthopedics | Clinic/Center | 1436 Exchange St, Middlebury, VT 05753-1185 | 2006-10-20 |
| City | SAINT ALBANS |
| Zip Code | 05478 |
Please comment or provide details below to improve the information on NORTHERN VERMONT DERMATOLOGY, PLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.