MINDFUL DERMATOLOGY, LTD (NPI# 1104204874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104204874 |
| Entity Type | Organization |
| Organization Name | MINDFUL DERMATOLOGY, LTD |
| Practice Address |
205 Billings Farm Rd Suite 2d White River Junction VT 05001-5400 |
| Practice Telephone | 8022816448 |
| Mailing Telephone | 8022816448 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | ROBERTA LUCAS (DIRECTOR) |
| Authorized Official Telephone | 8022816448 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | MINDFUL DERMATOLOGY, LTD. | 205 Billings Farm Road, Suite 2d, White River Junction, VT 05001 |
| Street Address |
205 BILLINGS FARM RD SUITE 2D |
| City | WHITE RIVER JUNCTION |
| State | VT |
| Zip Code | 05001-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205870268 | Mark E Young | Dentist | 205 Billings Farm Rd, Unit 1, White River Junction, VT 05001-5400 | 2006-06-16 |
| 1073039111 | Katherine E Demers | Marriage & Family Therapist | 205 Billings Farm Rd, White River Junction, VT 05001-5400 | 2017-08-21 |
| 1376806570 | Rebekah Lucier Pryles | Dentist | 205 Billings Farm Rd, Suite 6a, White River Junction, VT 05001-5400 | 2012-06-21 |
| 1457638892 | Upper Valley Endodontics | Dentist | 205 Billings Farm Rd, Suite 6a, White River Junction, VT 05001-5400 | 2011-11-14 |
| 1508146481 | L Ferris Flint | Marriage & Family Therapist | 205 Billings Farm Rd, Bldg 2 Suite E4, White River Junction, VT 05001-5401 | 2011-08-23 |
| 1831490309 | Alice Peck Day Memorial Hospital | Orthopaedic Surgery | 205 Billings Farm Rd, Suite 3a, White River Junction, VT 05001-5400 | 2010-11-15 |
| 1184892309 | Brooke Blicher | Dentist | 205 Billings Farm Rd, Suite 6a, White River Junction, VT 05001-5400 | 2008-02-11 |
| 1972644870 | Sharon S. Cheeseman | Social Worker | 205 Billings Farm Rd, Suite 2c, White River Junction, VT 05001-5400 | 2007-02-12 |
| 1619080959 | Millicent Allyn Higgins | Social Worker | 205 Billings Farm Rd, White River Junction, VT 05001-5400 | 2006-08-17 |
| 1982624979 | John D Dresser | Dentist | 205 Billings Farm Rd, Suite 6a, White River Junction, VT 05001-5400 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071674 | Angela Norton | Dietitian, Registered | White River Junction Va, 163 Veterans Drive, White River Junction, VT 05001 | 2020-01-02 |
| 1295221687 | Arielle Courtney Strickland | Behavioral Analyst | 91 Farmvu Dr, White River Junction, VT 05001 | 2018-07-09 |
| 1639544075 | Maureen D Bogosian | Counselor | 211 North Main St, White River, VT 05001 | 2015-12-10 |
| 1104254515 | Peter David Tenenbaum | Social Worker | 67 Raymond Circle, White River Junction, VT 05001 | 2013-10-22 |
| 1124311493 | Amber J Leavitt | Counselor | 226 Holiday Dr Ste 21, White River Junction, VT 05001 | 2011-05-19 |
| 1083820963 | Eileen Frances Lanza | Counselor | 3 Palmer Court, White River Junction, VT 05001 | 2007-05-15 |
| 1841337912 | Carol B. Collier | Counselor | 5 Palmer Court, White River Junction, VT 05001 | 2007-01-30 |
| 1174682041 | Mark G Koch | Marriage & Family Therapist | 1011 N. Main St. #21, White River Junction, VT 05001 | 2006-12-07 |
| 1518032564 | White River Family Practice PC | Family Medicine | 331 Olcott Drive, Suite U3, White River Jct, VT 05001 | 2006-11-22 |
| 1396818100 | Richard Sandford Zubarik | Internal Medicine | Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 | 2006-11-17 |
| Find all providers in zip 05001 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063572907 | Julie Hsiao-wen Lin | Dermatology | 53 Fairfax Rd Ste 2, Saint Albans, VT 05478-4405 | 2006-12-11 |
| 1508946732 | Dartmouth-hitchcock Clinic | Dermatology | 9 Belmont Ave, Brattleboro, VT 05301-6613 | 2006-10-16 |
| 1730273509 | Patricia L. Seal | Dermatology | 30 Farrell St Ste 200, South Burlington, VT 05403-6112 | 2006-10-03 |
| 1720193998 | Sidney Nathan Klaus | Dermatology | 312 Goodrich Four Corners Rd, Norwich, VT 05055 | 2006-08-20 |
| 1386678381 | Stephanie Dawn Neider | Dermatology | Northern Vermont Dermatology, 53 Fairfax Road Suite 2, St. Albans, VT 05478 | 2006-07-10 |
| 1861432841 | Rebecca M Jones | Dermatology | 138 Elliot St, Brattleboro, VT 05301-3027 | 2006-06-07 |
| 1801891049 | Janet Y Hinzman | Dermatology | 286 Hospital Loop, Ste 2, Berlin, VT 05602-8496 | 2005-06-15 |
| 1932575792 | Northwestern Medical Center, Inc. | Dermatology | 128 Fisher Pond Rd, 2nd Floor, Saint Albans, VT 05478-6058 | 2015-08-17 |
| 1427442615 | Julia Hobson Barker | Dermatology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-03-25 |
| 1790196525 | Ankit Gor | Dermatology | 111 Colchester Ave, Burlington, VT 05401 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
| City | WHITE RIVER JUNCTION |
| Zip Code | 05001 |
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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.