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LACKAWANNA VALLEY DERMATOLOGY ASSOCIATES LIMITED
NPI 1982791117
Dermatology in Scranton, PA

Active since October 09, 2006CLIA Certified · 2 labs
327 N WASHINGTON AVE, SUITE 200, SCRANTON, PA 18503(570) 961-5522(570) 207-5579 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lackawanna Valley Dermatology Associates Limited NPPES

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

LACKAWANNA VALLEY DERMATOLOGY ASSOCIATES LIMITED (NPI 1982791117) is a healthcare organization registered as a dermatology in Scranton, Pennsylvania and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Gregg A Severs, Secretary, as its authorized official.

NPPES Registry Identity

NPI1982791117
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLACKAWANNA VALLEY DERMATOLOGY ASSOCIATES LIMITED
Location Address327 N WASHINGTON AVE, SUITE 200Scranton, PA 18503-1549
Mailing Address327 N Washington Ave, Suite 200Scranton, PA 18503-1549 · (570) 961-5522 · Fax (570) 207-5579
Phone(570) 961-5522
Fax(570) 207-5579
Organization SubpartNo
Authorized OfficialGregg A SeversSecretary · (570) 961-5522
Enumeration DateOctober 9, 2006
Last NPPES UpdateFebruary 26, 2015
✔ NPI 1982791117 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.
327 N WASHINGTON AVE, Scranton, PA 18503
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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 2

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 39D0940659

Lackawanna Valley Dermatology Assoc · Scranton, PA
Active · expires Dec 8, 2027
CLIA Number39D0940659
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorDr. Michael J. Odonnell
Laboratory Phone(570) 961-5522
Laboratory LocationLackawanna Valley Dermatology Assoc327 North Washington Avenue Suite 200, Scranton, PA 18503
CLIA data matches this NPI record on: Address 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.

Certificate of Compliance 39D2069206

Lackawanna Valley Dermatology Assoc Ltd · Kingston, PA
Active · expires Mar 25, 2028
CLIA Number39D2069206
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorDr. Mark F. Suchter Jr
Laboratory Phone(570) 961-5522
Laboratory LocationLackawanna Valley Dermatology Assoc Ltd440 Pierce Street, Kingston, PA 18704
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 20

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

MANDY DORIA, LPC, LLC
Counselor
327 N WASHINGTON AVE, SUITE 601
SCRANTON, PA 18503
Lackawanna County (570) 650-6450
MELISSA ANN HENZES-DOLHON MSPT
Physical Therapist
327 N WASHINGTON AVE, SUITE 703
SCRANTON, PA 18503
Lackawanna County (570) 346-1570
MRS. KRISTIN ELIZABETH LEVANDOSKI M.S, LPC, CAC-D
Counselor (Professional)
327 N WASHINGTON AVE, SUITE 601
SCRANTON, PA 18503
Lackawanna County (570) 909-9324
DR. GREGG ANTHONY SEVERS D.O.
Dermatology
327 N WASHINGTON AVE, SUITE 200
SCRANTON, PA 18503
Lackawanna County (570) 961-5522
DR. MARK F SUCHTER M.D.
Dermatology
327 N WASHINGTON AVE, SUITE 200
SCRANTON, PA 18503
Lackawanna County (570) 961-5522
KRISTIN MARIE PATCHELL MS, NCC, LPC
Counselor (Professional)
327 N WASHINGTON AVE, SUITE 711
SCRANTON, PA 18503
Lackawanna County (973) 271-1619
DR. MICHAEL J O'DONNELL M.D.
Dermatology (MOHS-Micrographic Surgery)
327 N WASHINGTON AVE, STE 200
SCRANTON, PA 18503
Lackawanna County (570) 961-5522
SPRINT CENTER INC
Clinic/Center (Physical Therapy)
327 N WASHINGTON AVE, SUITE 703
SCRANTON, PA 18503
Lackawanna County (570) 346-1570

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 Lackawanna Valley Dermatology Associates Limited's NPI number?

The NPI number for Lackawanna Valley Dermatology Associates Limited is 1982791117. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Lackawanna Valley Dermatology Associates Limited located?

Lackawanna Valley Dermatology Associates Limited is located at 327 N Washington Ave Suite 200, Scranton, PA 18503. The listed phone number is (570) 961-5522.

What is Lackawanna Valley Dermatology Associates Limited's specialty?

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

Does Lackawanna Valley Dermatology Associates Limited hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lackawanna Valley Dermatology Associates Limited was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.