Vermont Skin Specialist

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VERMONT SKIN SPECIALIST

Practice address

105 Court St Ste 301
Middlebury, VT 05753-1475

Phone

(802) 771-3075

NPI assigned

Dec 10, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Denofrio

Title

Ceo

Phone

(802) 771-3075

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1154892669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COURT ST # 301",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COURT ST STE 301",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531475",
            "telephone_number": "802-771-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT SKIN SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "DENOFRIO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-771-3075"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elya Horattas Vasiliou, M.D.
• Gabrielle Vella
• Robert Lyon Venman, MD
• Vermont Medical Sleep Disorders Center, Inc.
• Vermont Medical Sleep Disorders Center, Inc.
• Vermont Spineworks and Rehabilitation
• Vermont Wellness Medicine and Integrative Oncology
• Village Health, Inc.
• Virtual Optics Inc
• Lydia Vorsteveld, APRN

• Durable Medical Equipment & Medical Supplies in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Durable Medical Equipment & Medical Supplies in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.