Active NPI
Quincy Holland Seigel, MD
- Dermatology Physician
- South Burlington, VT
National Provider Identifier
1790529691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 060.0005979
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240727000109 | TX | Order and Referring Only - Dermatology | 0547706426 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060.0005979 | VT | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Allen Health Care Inc | Past | Accepting new patients | |
| University of Vermont Medical Center Inc | Internal Medicine | Past | 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.
-
- Radiation Oncology Physician
- Burlington, VT
- NPI 1619266624
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.