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Organization

Four Seasons Dermatology LLC

NPI Record: ActiveDermatology
NPI1790737393
Colchester, Vermont

Provider's NPPES record last updated: April 28, 2022

Overview

Entity Type
Organization
NPI
1790737393
Primary Specialty
Dermatology
Practice Location
Colchester, Vermont
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 10:46 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

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This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

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Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207N00000X
  • Specialist

    Other Service Providers

    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

    Taxonomy code 174400000X
  • Orthopaedic Surgery

    Hand Surgery

    Allopathic & Osteopathic Physicians

    An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

    Taxonomy code 207XS0106X
  • Plastic Surgery

    Allopathic & Osteopathic Physicians

    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

    Taxonomy code 208200000X

Practice Locations

Practice Location

354 Mountain View Drive

Suite 300

Colchester, Vermont 05446-5988

Phone: (802) 864-0192

Additional Practice Location

110 Porter Dr

Middlebury, Vermont 05753-8527

Phone: (802) 864-0192

Fax: (802) 860-4919

Additional Practice Location

28 Stowe St Ste 3

Waterbury, Vermont 05676-1883

Phone: (802) 864-0192

Fax: (802) 860-4919

Additional Practice Location

2 Healey Ave

Plattsburgh, New York 12901-2413

Phone: (802) 864-0192

Fax: (802) 860-4919

Record Information

Enumeration Date
May 16, 2006
Provider's NPPES Record Last Updated
April 28, 2022
Certification Date
April 28, 2022
NPISignal NPPES Dataset
August 2026

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