Dermatology Center in the Berkshires, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2077441 Issued in MA

Legal business name

DERMATOLOGY CENTER IN THE BERKSHIRES, P.C.

Practice address

780 Main St
Suite 9
Great Barrington, MA 01230-2148

Phone

(413) 528-5184

Fax

(413) 528-1077

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott L Goffin, D.O.NPI 1821060351

Title

President

Phone

(413) 528-5184

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott L Goffin, D.O.

  • Dermatology Physician
  • Great Barrington, MA
  • NPI 1821060351
  Medicare reassignment NPD Authorized official
• Joseph B Gold, M.D.

  • Ophthalmology Physician
  • Great Barrington, MA
  • NPI 1649243809
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1356457949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "SUITE 9",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302148",
            "telephone_number": "413-528-5184",
            "fax_number": "413-528-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "SUITE 9",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302148",
            "telephone_number": "413-528-5184",
            "fax_number": "413-528-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTER IN THE BERKSHIRES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "GOFFIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-528-5184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "2077441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2062763/9730940",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Delsoldato
• William Demarco, DO
• Dempsey Physical Therapy, LLC
• Dempsey Physical Therapy, LLC
• Kenneth G Dempsey, PT
• Lori Deutsch, D.A.O.M., L.AC.
• Sandra Marie Deyo-Boylston
• Diane Huebner Dillon, PHD
• Allyson M Dinneen, MED
• Natacha Dockery Livak

• Dermatology Physician in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.