FOUR SEASONS DERMATOLOGY LLC
NPI 1790737393
Dermatology in Colchester, VT

Q: What is Four Seasons Dermatology LLC's NPI number?

The NPI number for Four Seasons Dermatology LLC is 1790737393. It was assigned to this organization in the NPPES registry on May 16, 2006.

Q: What is Four Seasons Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since May 16, 2006

354 MOUNTAIN VIEW DRIVE, SUITE 300, COLCHESTER, VT 05446(802) 864-0192(802) 860-4919 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2022, Sep 8, 2021, Mar 18, 2021 (3 updates tracked since 2021).

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About Four Seasons Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR SEASONS DERMATOLOGY LLC (NPI 1790737393) is a healthcare organization registered as a dermatology in Colchester, Vermont and active in the NPI registry since May 2006. The organization maintains 3 additional practice locations and lists Steven Robert Partilo, Member, as its authorized official.

NPPES Registry Identity

NPI1790737393

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameFOUR SEASONS DERMATOLOGY LLC

Location Address354 MOUNTAIN VIEW DRIVE, SUITE 300Colchester, VT 05446-5988

Mailing Address354 Mountain View Drive, Suite 300Colchester, VT 05446-5988 · (802) 864-0192 · Fax (802) 860-4919

Phone(802) 864-0192

Fax(802) 860-4919

Organization SubpartNo

Authorized OfficialSteven Robert PartiloMember · (802) 864-0192

Enumeration DateMay 16, 2006

Last NPPES UpdateApril 28, 20223 updates tracked since enumeration

NPPES CertifiedApril 28, 2022

✔ NPI 1790737393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

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.

Also ListedSpecialistTaxonomy 174400000X

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X

Also ListedPlastic SurgeryTaxonomy 208200000X

354 MOUNTAIN VIEW DRIVE, Colchester, VT 05446

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Secondary Practice Locations 3

Location 1110 Porter DrMiddlebury, VT 05753-8527 · Phone (802) 864-0192 · Fax (802) 860-4919

Location 228 Stowe St Ste 3Waterbury, VT 05676-1883 · Phone (802) 864-0192 · Fax (802) 860-4919

Location 32 Healey AvePlattsburgh, NY 12901-2413 · Phone (802) 864-0192 · Fax (802) 860-4919

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Four Seasons Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to Four Seasons Dermatology LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology10

Plastic and Reconstructive Surgery1

Clinicians, nearest first (11)

Glenn Goldman, MD

Dermatology

NPI 1992717458

354 MOUNTAIN VIEW DR STE 300
Colchester, VT 05446

(802) 864-0192