DERMATOLOGY ASSOC OF CENTRAL PA PC NPI 1235224957

NPI Information

  • NPI: 1235224957
  • Provider Name: DERMATOLOGY ASSOC OF CENTRAL PA, PC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Other Name: DERMATOLOGY ASSOCIATES OF CENTRAL PA, PC
  • Address: 1393 N ATHERTON ST
    STATE COLLEGE, PA
    ZIP 16803
  • Phone: (814) 238-6097

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NPI Details

DERMATOLOGY ASSOC OF CENTRAL PA, PC is a dermatology in State College, PA. The provider is 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. DERMATOLOGY ASSOC OF CENTRAL PA, PC NPI is 1235224957. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dermatology Associates Of Central Pa, Pc.

The provider's business location address is:

1393 N ATHERTON ST
STATE COLLEGE, PA
ZIP 16803-932
Phone: (814) 238-6097
Fax: (814) 238-5527

The provider's authorized official is Jerry Forrest Mikesell .
The authorized official title is President and has the following contact phone number (814) 238-6097.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1413750OTHERPENNSYLVANIAPA BLUE SHIELD
2413750MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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