DERMATOLOGY & SKIN CANCER CENTER PC (NPI# 1528379823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528379823 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY & SKIN CANCER CENTER PC |
| Practice Address |
798 Hausman Rd Suite 310 Allentown PA 18104-9108 |
| Mailing Address |
1605 N Cedar Crest Blvd Suite 110b Allentown PA 18104-2351 |
| Practice Telephone | 6104320200 |
| Practice Fax Number | 6104320202 |
| Mailing Telephone | 6109731410 |
| Mailing Fax Number | 6109731450 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | ANNE BRADY (MANAGER) |
| Authorized Official Telephone | 6104320200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
OS004677L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
798 HAUSMAN RD SUITE 310 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-9108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548257546 | John Greg Brady | Dermatology | 798 Hausman Rd, Suite 310, Allentown, PA 18104-9108 | 2005-10-04 |
| 1013379338 | Institute for Hand and Upper Extremity Rehabilitation, Inc. | Occupational Therapist | 798 Hausman Rd, Ste 200, Allentown, PA 18104-9108 | 2016-03-25 |
| 1003181397 | Carissa Lynn Werkheiser | Physician Assistant | 798 Hausman Rd, Suite 270, Allentown, PA 18104-9108 | 2012-03-20 |
| 1417285248 | Richard C Pearce | Family Medicine | 798 Hausman Rd, Suite 270, Allentown, PA 18104-9108 | 2009-12-07 |
| 1417285503 | Lehigh Valley Physician Group | Internal Medicine | 798 Hausman Rd, Suite 100, Allentown, PA 18104-9108 | 2009-12-01 |
| 1164759346 | Jaclyn Sperrazza | Family Medicine | 798 Hausman Rd, Suite 250, Allentown, PA 18104-9108 | 2009-11-10 |
| 1083858666 | Lehigh Valley Physician Group | Internal Medicine | 798 Hausman Rd, Suite 270, Allentown, PA 18104-9108 | 2009-04-27 |
| 1346484938 | Lehigh Valley Physician Group | Family Medicine | 798 Hausman Rd, Suite 250, Allentown, PA 18104-9108 | 2009-04-27 |
| 1063656643 | Lehigh Valley Physician Group | Internal Medicine | 798 Hausman Rd, Suite 220, Allentown, PA 18104-9108 | 2009-04-27 |
| 1962641068 | Megan Depoint | Chiropractor | 798 Hausman Rd, Allentown, PA 18104-9108 | 2009-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| 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 |
|---|---|---|---|---|
| 1801074976 | Cynthia L Bartus | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2008-01-31 |
| 1932196060 | Advanced Dermatology Associates, Ltd. | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6206 | 2005-10-04 |
| 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 |
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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.