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COMMONWEALTH DERMATOLOGY, P.C.
NPI 1609239847
Dermatology in Mc Murray, PA

Active since April 04, 2016CLIA 39D2116761 · Certificate of Compliance
3055 WASHINGTON RD, SUITE 203, MC MURRAY, PA 15317(724) 260-5424(724) 260-5425 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Commonwealth Dermatology, P.c. NPPES

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

COMMONWEALTH DERMATOLOGY, P.C. (NPI 1609239847) is a healthcare organization registered as a dermatology in Mc Murray, Pennsylvania and active in the NPI registry since April 2016. The organization holds a CLIA Certificate of Compliance certificate valid through November 17, 2026 and lists Matthew Shane Petrie, President, as its authorized official.

NPPES Registry Identity

NPI1609239847
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOMMONWEALTH DERMATOLOGY, P.C.
Location Address3055 WASHINGTON RD, SUITE 203Mc Murray, PA 15317-3279
Mailing Address3055 Washington Rd, Suite 203Mc Murray, PA 15317-3279 · (724) 260-5424 · Fax (724) 260-5425
Phone(724) 260-5424
Fax(724) 260-5425
Organization SubpartNo
Authorized OfficialMatthew Shane PetriePresident · (336) 403-5331
Enumeration DateApril 4, 2016
Last NPPES UpdateJune 6, 2016
✔ NPI 1609239847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PA · MD438908
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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License MD438908 (PA)
3055 WASHINGTON RD, Mc Murray, PA 15317
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Other Identifiers 2

Medicare PIN498185PA
Medicaid103091870-0001PA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D2116761

Commonwealth Dermatology · Mcmurray, PA
Active · expires Nov 17, 2026
CLIA Number39D2116761
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorDr. Matthew S. Petrie
Laboratory Phone(724) 260-5424
Laboratory LocationCommonwealth Dermatology3055 Washington Road Suite 301, Mcmurray, PA 15317
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 11

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

DR. MATTHEW SHANE PETRIE M.D.
Dermatology
3055 WASHINGTON RD, SUITE 203
MC MURRAY, PA 15317
Washington County (724) 260-5424
THE VIA CENTER, P.C.
Psychiatry & Neurology (Psychiatry)
3055 WASHINGTON RD, SUITE 101
MC MURRAY, PA 15317
Washington County (724) 260-0550
DR. VERED B. COHEN M.D.
Psychiatry & Neurology (Psychiatry)
3055 WASHINGTON RD, SUITE 101
MC MURRAY, PA 15317
Washington County (724) 260-0550
RED APPLE READING CENTER
Optometrist (Vision Therapy)
3055 WASHINGTON RD, SUITE 302
MC MURRAY, PA 15317
Washington County (724) 942-7323
DARYA FISCHBACH LONG MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3055 WASHINGTON RD
MC MURRAY, PA 15317
Washington County (724) 260-0550
MICHAEL F. HNAT DMD
Dentist
3055 WASHINGTON RD, SUITE 303
MC MURRAY, PA 15317
Washington County (724) 942-5630
ADAM MCDIVITT MS
Counselor (Professional)
3055 WASHINGTON RD
MC MURRAY, PA 15317
Washington County (724) 260-0550
DR. MARC ALAN YESTER M.D.
Pediatrics
3055 WASHINGTON RD, SUITE 102
MC MURRAY, PA 15317
Washington County (724) 969-5025

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 Commonwealth Dermatology, P.C.'s NPI number?

The NPI number for Commonwealth Dermatology, P.C. is 1609239847. It was assigned to this organization in the NPPES registry on April 4, 2016.

Where is Commonwealth Dermatology, P.C. located?

Commonwealth Dermatology, P.C. is located at 3055 Washington Rd Suite 203, Mc Murray, PA 15317. The listed phone number is (724) 260-5424.

What is Commonwealth Dermatology, P.C.'s specialty?

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

Does Commonwealth Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D2116761) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Commonwealth Dermatology, P.C. was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.