DTGC, PC (NPI# 1003985821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003985821 |
| Entity Type | Organization |
| Organization Name | DTGC, PC |
| Other Organization Name | VERMONT DERMATOPATHOLOGY |
| Practice Address |
30 Farrell St Suite 202 South Burlington VT 05403-6112 |
| Practice Telephone | 8026586269 |
| Practice Fax Number | 8028604642 |
| Mailing Telephone | 8026586269 |
| Mailing Fax Number | 8028604642 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | CATHERINE MURER ANTLEY (PRESIDENT) |
| Authorized Official Telephone | 8026586269 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | OVN2726 | 05 |
| Other Name | Type Code |
|---|---|
| Vermont Dermatopathology | Doing Business As Name - Organization |
| Street Address |
30 FARRELL ST SUITE 202 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-6112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972682128 | Catherine Murer Antley | Pathology | 30 Farrell St, Suite 202, South Burlington, VT 05403-6112 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972682128 | Catherine Murer Antley | Pathology | 30 Farrell St, Suite 202, South Burlington, VT 05403-6112 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760404180 | Deborah Lynn Cook | Pathology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-07-24 |
| 1679595094 | Marcus Bosenberg | Pathology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-07-24 |
| 1003845272 | Laura Aman Greene | Pathology | 111 Colchester Ave, Ep-2-113, Burlington, VT 05401-1473 | 2006-07-01 |
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.