PMA DERMAOLOGY (NPI# 1255651048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255651048 |
| Entity Type | Organization |
| Organization Name | PMA DERMAOLOGY |
| Practice Address |
824 Main St Suite 307 Phoenixville PA 19460-4478 |
| Mailing Address |
Po Box 525 Phoenixville PA 19460-0525 |
| Practice Telephone | 6109338000 |
| Mailing Telephone | 6109338000 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | JULIE CLAY (BILLING MANAGER) |
| Authorized Official Telephone | 6109338000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
824 MAIN ST SUITE 307 |
| City | PHOENIXVILLE |
| State | PA |
| Zip Code | 19460-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191303 | Robert F Glenn Jr. | Family Medicine | 824 Main St, Ste 307, Phoenixville, PA 19460-4478 | 2005-08-12 |
| 1285054320 | Healthmark Foot and Ankle Associates, PC | Podiatrist | 824 Main St, Suite303, Phoenixville, PA 19460-4478 | 2014-04-16 |
| 1609205293 | Laura Rogers | Genetic Counselor, MS | 824 Main St, Suite 101, Phoenixville, PA 19460-4478 | 2013-11-05 |
| 1184910556 | Melissa Lynne Hawtin | Family Medicine | 824 Main St, Suite 100, Phoenixville, PA 19460-4478 | 2011-06-23 |
| 1932409414 | Joseph Patrick Lynch Jr. | Physician Assistant | 824 Main St, Suite 100, Phoenixville, PA 19460-4478 | 2010-10-29 |
| 1265742381 | Phoenixville Specialty Clinics LLC | Durable Medical Equipment & Medical Supplies | 824 Main St, Ste 203, Phoenixville, PA 19460-4478 | 2010-10-08 |
| 1770892937 | Performance Spine & Sports Physicians, P.C. | Physical Medicine & Rehabilitation | 824 Main St, Suite 201, Phoenixville, PA 19460-4478 | 2010-10-05 |
| 1306157300 | Performance Spine and Sports Physicians, PC | Non-Pharmacy Dispensing Site | 824 Main St, Ste 201, Phoenixville, PA 19460-4478 | 2010-06-24 |
| 1669792313 | Victoria I Korkus | Family Medicine | 824 Main St, Suite 307, Phoenixville, PA 19460-4478 | 2010-06-04 |
| 1205009313 | Marilyn Goldman | Audiologist | 824 Main St, Suite 201, Phoenixville, PA 19460-4478 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1801360573 | Pennsylvania Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 710 Wheatland St Ste 1, Phoenixville, PA 19460 | 2019-01-16 |
| 1518482702 | Megan Blair Webb | Massage Therapist | 215 Pine Drive, Phoenixville, PA 19460 | 2017-08-08 |
| 1053867697 | Steven Mehl | Psychologist | 865 Woodlawn Ave., Phoenixville, PA 19460 | 2016-09-01 |
| 1023564762 | Elizabeth Tarka | Internal Medicine | 111 Waverly Circle, Phoenixville, PA 19460 | 2016-09-01 |
| 1477901874 | Valley Forge Family Dentistry | Clinic/Center | 1288 Valley Forge Rd #70, Valley Forge, PA 19460 | 2016-05-26 |
| 1184088429 | Gisselle Vargas | Massage Therapist | 220 Third Ave, Phoenixville, PA 19460 | 2016-04-13 |
| 1992179022 | Monir Morgan | Counselor | 1041 West Bridge Street, Phoenixville, PA 19460 | 2015-12-01 |
| 1437531548 | Hiteshkumar K Nada | Dentist | 247 Schuylkill Road Phoenixville, Phoenixville, PA 19460 | 2015-06-25 |
| 1871995464 | Smart Serve Medical | Durable Medical Equipment & Medical Supplies | 69 Greenbriar Drive, Phoenixville, PA 19460 | 2014-09-25 |
| Find all providers in zip 19460 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750438842 | Pma Medical Specialists, LLC | Dermatology | 826 Main St, Suite 100, Phoenixville, PA 19460-4459 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
| 1962802249 | Carlisle Dermatology Group | Dermatology | 19 Sprint Drive, Suite 1, Carlisle, PA 17015-7002 | 2014-08-24 |
| 1922418516 | Veronica Rutt | Dermatology | 1665 Valley Center Pkwy Ste 120, Bethlehem, PA 18017-2353 | 2014-05-05 |
| 1003109059 | Amanda Joy Tschetter | Dermatology | 575 Coal Valley Rd Ste 360, Clairton, PA 15025-3739 | 2011-05-24 |
| 1871893529 | Accurate Dermatology Pa, LLC | Dermatology | 2805 Fringe Lane, Easton, PA 18040 | 2010-10-28 |
| 1134393028 | Paul Xavier Benedetto | Dermatology | 2221 Garrett Rd, Drexel Hill, PA 19026-1101 | 2008-04-22 |
| 1558549733 | Keystone Dermatology & Center for Skin Surgery, LLC | Dermatology | 2525 9th Ave Ste 2, Altoona, PA 16602-2014 | 2008-02-10 |
| 1710174511 | The Skin and Cancer Center | Dermatology | 18 Millridge Dr, Aston, PA 19014-1063 | 2007-09-26 |
| 1871785683 | Kevin Crouse, Md PC | Dermatology | 250 Pierce St Ste 217, Kingston, PA 18704-5149 | 2007-08-15 |
| 1326240557 | Marc Kevin Rubenzik | Dermatology | 233 S 10th St, Suite 450, Philadelphia, PA 19107-5541 | 2007-06-01 |
| Find all providers with the same taxonomy | ||||
| City | PHOENIXVILLE |
| Zip Code | 19460 |
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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.