Individual provider Active NPI

Quincy Holland Seigel, MD

  • Dermatology Physician
  • South Burlington, VT
National Provider Identifier
1790529691
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
060.0005979 Issued in VT
Practice address
350 Tilley Dr Ste 201
South Burlington, VT 05403-4539
Phone
(802) 847-4570
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10089907 TX
Dermatology Physician 207N00000X 060.0005979 VT Primary

Addresses

Primary practice location

350 Tilley Dr Ste 201
South Burlington, VT 05403-4539

Mailing address

350 Tilley Dr Ste 201
South Burlington, VT 05403-4539
Phone (802) 847-4570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240727000109 TX Order and Referring Only - DermatologyPractitioner - DermatologyPractitioner - Internal Medicine 0547706426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
060.0005979VTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Allen Health Care Inc PastSince Jun 23, 2025 Accepting new patients
University of Vermont Medical Center Inc Internal Medicine PastSince Jun 23, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1790529691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 TILLEY DR STE 201",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034539",
            "telephone_number": "802-847-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TILLEY DR STE 201",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034539",
            "telephone_number": "802-847-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIGEL",
        "first_name": "QUINCY",
        "middle_name": "HOLLAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10089907",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VT",
            "license": "060.0005979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.