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CHILDREN'S DERMATOLOGY SERVICES
NPI 1619058559
Dermatology in Wexford, PA

Active since October 18, 2006CLIA 39D2121727 · Microscopy
11279 PERRY HWY STE 108, WEXFORD, PA 15090(724) 933-9190(724) 933-9194 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Children's Dermatology Services NPPES

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

CHILDREN'S DERMATOLOGY SERVICES (NPI 1619058559) is a healthcare organization registered as a dermatology in Wexford, Pennsylvania and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through November 13, 2026 and lists Lori Martinez, Executive Administrator Iii, as its authorized official.

NPPES Registry Identity

NPI1619058559
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCHILDREN'S COMMUNITY CARE
Location Address11279 PERRY HWY STE 108Wexford, PA 15090-9303
Mailing Address103 Bradford Rd Ste 200Wexford, PA 15090-6910 · (724) 933-1100 · Fax (724) 933-1160
Phone(724) 933-9190
Fax(724) 933-9194
Organization SubpartNo
Authorized OfficialLori MartinezExecutive Administrator Iii · (724) 933-1100
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1619058559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
11279 PERRY HWY STE 108, Wexford, PA 15090
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Other Names 1

Other NameChildren's Dermatology Services

Other Identifiers 1

Other001633210PA · Highmark

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

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 for Provider-Performed Microscopy Procedures (PPMP) 39D2121727

Children's Dermatology Services · Monroeville, PA
Active · expires Nov 13, 2026
CLIA Number39D2121727
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDr. Douglas W. Kress
Laboratory Phone(724) 933-9190
Laboratory LocationChildren's Dermatology Services4075 Monroeville Blvd, Suite 125, Monroeville, PA 15146
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

KATERYNA KOCELKO
Physician Assistant
11279 PERRY HWY STE 108
WEXFORD, PA 15090
Allegheny County (724) 933-9190
MOLLIE SORENSON PA-C
Physician Assistant (Medical)
11279 PERRY HWY STE 108
WEXFORD, PA 15090
Allegheny County (724) 933-9190

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 Children's Community Care's NPI number?

The NPI number for Children's Community Care is 1619058559. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is also known as Children's Dermatology Services.

Where is Children's Community Care located?

Children's Community Care is located at 11279 Perry Hwy Ste 108, Wexford, PA 15090. The listed phone number is (724) 933-9190.

What is Children's Community Care's specialty?

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

Does Children's Community Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D2121727) is associated with this NPI, valid through November 13, 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 Children's Community Care was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.