HAVERFORD DERMATOLOGY PC
NPI 1104065242
Dermatology in Bryn Mawr, PA

Active since February 12, 2009
940 E HAVERFORD RD, SUITE 100, BRYN MAWR, PA 19010(610) 525-3800(610) 525-4700 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Haverford Dermatology Pc NPPES

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

HAVERFORD DERMATOLOGY PC (NPI 1104065242) is a healthcare organization registered as a dermatology in Bryn Mawr, Pennsylvania and active in the NPI registry since February 2009. The organization lists Stacey Turner, Physician, as its authorized official.

NPPES Registry Identity

NPI1104065242
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHAVERFORD DERMATOLOGY PC
Location Address940 E HAVERFORD RD, SUITE 100Bryn Mawr, PA 19010-3845
Mailing Address940 E Haverford Rd, Suite 100Bryn Mawr, PA 19010-3845 · (610) 525-3800 · Fax (610) 525-4700
Fax(610) 525-4700
Organization SubpartNo
Authorized OfficialStacey TurnerPhysician · (610) 525-3800
Enumeration DateFebruary 12, 2009
Last NPPES UpdateAugust 1, 2013
✔ NPI 1104065242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PA · MD067032L
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.
940 E HAVERFORD RD, Bryn Mawr, PA 19010

Other Identifiers 1

Medicare UPINH07890PA

Group Practice 1

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)

Haverford Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Haverford Dermatology PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1265431043
940 E HAVERFORD RD SUITE 100
Bryn Mawr, PA 19010
(610) 525-3800
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1528329760
100 E LANCASTER AVE
Wynnewood, PA 19096
(484) 476-2551
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1659879658
500 UNIVERSITY DR
Hershey, PA 17033
(717) 531-1159
✔ PECOS✔ Accepts Medicare74 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haverford Dermatology PC's NPI number?

The NPI number for Haverford Dermatology PC is 1104065242. It was assigned to this organization in the NPPES registry on February 12, 2009.

Where is Haverford Dermatology PC located?

Haverford Dermatology PC is located at 940 E Haverford Rd Suite 100, Bryn Mawr, PA 19010. The listed phone number is (610) 525-3800.

What is Haverford Dermatology PC's specialty?

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

Is Haverford Dermatology PC enrolled in Medicare?

Yes. Haverford Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haverford Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Haverford Dermatology PC, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Haverford Dermatology PC was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.