Rutland Skin Center, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RUTLAND SKIN CENTER, PC

Practice address

3 Mahoney Ave
Rutland, VT 05701-4837

Phone

(802) 773-3553

NPI assigned

Sep 27, 2010

Last updated

Jul 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel McCauliffe, M.D.NPI 1164512067

Title

Owner

Phone

(802) 773-3553

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Patrick McCauliffe, MD

  • Dermatology Physician
  • Rutland, VT
  • NPI 1164512067
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1730498676",
    "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": "RUTLAND SKIN CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "MCCAULIFFE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-773-3553",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rutland Naturopathic, PLLC
• Rutland Optical Inc
• Rutland Radiologists, P.C.
• Rutland Regional Health Services (Rutland Cardiovascular Associates)
• Rutland Regional Health Services (Rutland Cardiovascular Associates)
• Rutland Surgical Associates Inc
• Karen Sabataso, MA
• Alyssa Janelle Sabotka
• Albert E Saeed
• Adelaide Jean Salley, LICSW

• Dermatology Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Dermatology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.