PENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC
NPI 1861501801
Dermatology in Philadelphia, PA

Active since August 30, 2006
822 PINE ST, SUITE 2A, PHILADELPHIA, PA 19107(267) 519-0154(267) 519-0597 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pennsylvania Centre For Dermatology, Llc NPPES

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

PENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC (NPI 1861501801) is a healthcare organization registered as a dermatology in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Glen H Crawford, President, as its authorized official.

NPPES Registry Identity

NPI1861501801
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC
Location Address822 PINE ST, SUITE 2APhiladelphia, PA 19107-6187
Mailing AddressPo Box 22624Philadelphia, PA 19110-2624 · (267) 519-0154 · Fax (267) 519-0597
Fax(267) 519-0597
Organization SubpartNo
Authorized OfficialGlen H CrawfordPresident · (267) 519-0154
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 4, 2011
NPI 1861501801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD421221
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.
822 PINE ST, Philadelphia, PA 19107

Other Identifiers 5

Other2295672000Ibc
Other3679792PA · Aetna
Other1607671PA · Highmark Blue Shield
Medicare PINDF4791PA
Medicare PIN080242PA

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

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.

Dermatology (MOHS-Micrographic Surgery)
822 PINE ST, SUITE 2A
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Neurology)
822 PINE ST, SUITE 1A
PHILADELPHIA, PA 19107
Internal Medicine (Rheumatology)
822 PINE ST, SUITE 3A
PHILADELPHIA, PA 19107
Specialist
822 PINE ST, SUITE 4B
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Psychiatry)
822 PINE ST, ST. REGIS COURT, SUITE 1B
PHILADELPHIA, PA 19107
Internal Medicine (Rheumatology)
822 PINE ST, STE 3A
PHILADELPHIA, PA 19107
Counselor
822 PINE ST, SUITE 2B-5
PHILADELPHIA, PA 19107
Internal Medicine (Rheumatology)
822 PINE ST, SUITE 3A
PHILADELPHIA, PA 19107

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 Pennsylvania Centre For Dermatology, LLC's NPI number?

The NPI number for Pennsylvania Centre For Dermatology, LLC is 1861501801. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Pennsylvania Centre For Dermatology, LLC located?

Pennsylvania Centre For Dermatology, LLC is located at 822 Pine St Suite 2A, Philadelphia, PA 19107. The listed phone number is (267) 519-0154.

What is Pennsylvania Centre For Dermatology, LLC's specialty?

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

What insurance does Pennsylvania Centre For Dermatology, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pennsylvania Centre For Dermatology, LLC 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 Pennsylvania Centre For Dermatology, LLC was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.