NPIMap

Organization Active NPI

Vermont Physicians Clinic Dba Rutland Skin Center

  • Dermatology Physician
  • Rutland, VT
National Provider Identifier
1316066558
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
VERMONT PHYSICIANS CLINIC DBA RUTLAND SKIN CENTER
Practice address
3 Mahoney Ave
Rutland, VT 05701-4837
Phone
(802) 773-3553
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Daineil McCauliffe
Title
Owner
Phone
(802) 773-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3 Mahoney Ave
Rutland, VT 05701-4837

Mailing address

3 Mahoney Ave
Rutland, VT 05701-4837

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1316066558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAHONEY AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAHONEY AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014837",
            "telephone_number": "802-773-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT PHYSICIANS CLINIC DBA RUTLAND SKIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "MCCAULIFFE",
        "authorized_official_first_name": "DAINEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-773-3553"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.