Active NPI
Laura McGevna, M.D.
- Dermatology Physician
- South Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0420012621
- Practice address
- 30 Farrell St Ste 200
South Burlington, VT 05403-6395 - Phone
- (802) 864-9522
- Fax
- (802) 859-8928
- NPI assigned
- Apr 13, 2009
- Last updated
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0420012621 | VT | Primary |
Addresses
Primary practice location
30 Farrell St Ste 200
South Burlington, VT 05403-6395
Mailing address
30 Farrell St
South Burlington, VT 05403-6012
Phone (802) 864-9522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730322306 | Other | VT | NPI |
Other names 1
- Laura Faye McGevna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Vermont College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Farrell St
Suite 200
South Burlington, VT 05403-6395
Phone (802) 355-9730
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 751 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 453 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420012621 | VT | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Mountain Dermatology PLLC | Dermatology | Current | Accepting new patients |
| Swae Skin LLC | Dermatology | Current | Accepting new patients |
| Four Seasons Dermatology LLC | Dermatology | Current | Accepting new patients |
| Direct Dermatology Professionals PC | Dermatology | Past | Accepting new patients |
Locations
354 Mountain View Dr
Ste 300
Colchester, VT 05446
Phone 8028640192115
30 Farrell St
Ste 200
South Burlington, VT 05403
Phone (802) 355-9730
28 Stowe St
Ste 3
Waterbury, VT 05676
Phone (802) 864-0492
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Colchester, VT
- NPI 1790737393
-
dba Four Seasons Dermatology
- Dermatology Physician
- Colchester, VT
- NPI 1093577827
-
- Dermatology Physician
- Manteca, CA
- NPI 1417263922
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1730322306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 FARRELL ST",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036012",
"telephone_number": "802-864-9522",
"fax_number": "802-859-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 FARRELL ST STE 200",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036395",
"telephone_number": "802-864-9522",
"fax_number": "802-859-8928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEVNA",
"first_name": "LAURA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VT",
"license": "0420012621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1730322306",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "MCGEVNA",
"middle_name": "FAYE",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.