UNIVERSITY OF PENN - DERMATOLOGY
NPI 1174636153
Dermatology in Philadelphia, PA

Active since August 16, 2006
3400 SPRUCE ST, 2 RHOADS, PHILADELPHIA, PA 19104(215) 662-2737(215) 349-8339 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Of Penn - Dermatology NPPES

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

UNIVERSITY OF PENN - DERMATOLOGY (NPI 1174636153) is a healthcare organization registered as a dermatology in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Elizabeth Johnston, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174636153
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameUNIVERSITY OF PENN - DERMATOLOGY
Location Address3400 SPRUCE ST, 2 RHOADSPhiladelphia, PA 19104-4206
Mailing Address3624 Market St, Suite 560wPhiladelphia, PA 19104-2614 · (215) 662-2286
Fax(215) 349-8339
Organization SubpartNo
Authorized OfficialElizabeth JohnstonExecutive Director · (215) 662-7583
Enumeration DateAugust 16, 2006
Last NPPES UpdateJanuary 23, 2008
NPI 1174636153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedSurgeryTaxonomy 208600000X
3400 SPRUCE ST, Philadelphia, PA 19104

Other Identifiers 10

Medicare PIN196218PA
Other0156456000PA · Keystone
Other1003289PA · Mercy
OtherG00108540PA · Americhoice
Medicaid1007486690PA
Other005987PA · Aetna
Other196218PA · Blue Shield
Other273488PA · Mamsi
OtherCA5541PA · Rr Medicare
Other10385PA · Healthpartners

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

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 University Of Penn - Dermatology's NPI number?

The NPI number for University Of Penn - Dermatology is 1174636153. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is University Of Penn - Dermatology located?

University Of Penn - Dermatology is located at 3400 Spruce St 2 Rhoads, Philadelphia, PA 19104. The listed phone number is (215) 662-2737.

What is University Of Penn - Dermatology's specialty?

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

What insurance does University Of Penn - Dermatology accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Penn - Dermatology as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Penn - Dermatology was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.