DR. JOSEPH JOHN STUCKERT II (NPI# 1053572420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053572420 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH JOHN STUCKERT II |
| Credential | M.D. |
| Practice Address |
3824 Northern Pike Ste 900 Monroeville PA 15146-2141 |
| Mailing Address |
3824 Northern Pike Ste 700 Monroeville PA 15146-2141 |
| Practice Telephone | 4124570422 |
| Practice Fax Number | 4124571180 |
| Mailing Telephone | 4124570060 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD449049 | PA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 57.017204 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 2084307 | 01 |
| PA | 1028336330001 | 05 | |
| PA | AETNA | 4154419 | 01 |
| Street Address |
3824 NORTHERN PIKE STE 900 |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034158 | Irving Sass Gottfried | Internal Medicine | 3824 Northern Pike, Ste 830, Monroeville, PA 15146-2141 | 2005-09-27 |
| 1477058105 | Luann Caryl | Nurse Practitioner | 3824 Northern Pike, Ste 700, Monroeville, PA 15146-2184 | 2018-03-26 |
| 1568818755 | Premier Medical Associates, PC | Internal Medicine | 3824 Northern Pike, Ste 415, Monroeville, PA 15146-2141 | 2016-05-06 |
| 1679930317 | Premier Medical Associates, PC | Podiatrist | 3824 Northern Pike, Ste 960, Monroeville, PA 15146-2141 | 2016-01-26 |
| 1982088936 | Premier Medical Associates, PC | Pain Medicine | 3824 Northern Pike, Ste 960, Monroeville, PA 15146-2141 | 2015-07-18 |
| 1164852844 | Erin Flynn Davis | Nurse Practitioner | 3824 Northern Pike, Ste 525, Monroeville, PA 15146 | 2013-11-18 |
| 1215378260 | Emily Ann Stoy | Physician Assistant | 3824 Northern Pike, Ste 200, Monroeville, PA 15146-2141 | 2013-07-07 |
| 1851634752 | Premier Medical Associates, PC | Clinical Medical Laboratory | 3824 Northern Pike, Ste 650, Monroeville, PA 15146-2141 | 2013-03-29 |
| 1376804468 | Nufayl Khan | Family Medicine | 3824 Northern Pike, Ste 200, Monroeville, PA 15146-2141 | 2012-06-05 |
| 1366723850 | Ryan J. Hertweck | Physician Assistant | 3824 Northern Pike, Ste 900, Monroeville, PA 15146-2141 | 2011-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962588319 | Elizabeth Kristina Barba | Dermatology | 339 Old Haymaker Road Suite 201, Parkway Building, Monroeville, PA 15146 | 2006-10-28 |
| 1396745808 | Lisa A Goldberg | Dermatology | 2790 Mosside Blvd Ste 720, Monroeville, PA 15146-2757 | 2005-07-26 |
| 1760482277 | Allegheny Dermatology Associates PC | Dermatology | Allegheny Dermatology Associates PC, 339 Old Haymaker Road Suite 201 Parkway Building, Monroeville, PA 15146 | 2005-07-26 |
| 1043606189 | Miriam Pearl Finkel | Dermatology | 2790 Mosside Blvd Ste 720, Monroeville, PA 15146 | 2015-04-15 |
| 1255697272 | Ezra David Mirvish | Dermatology | 2790 Mosside Blvd Ste 720, Monroeville, PA 15146-2757 | 2012-04-03 |
| 1790929305 | Jay A Goldberg | Dermatology | 339 Old Haymaker Rd, Parkway Building Suite 201, Monroeville, PA 15146-1435 | 2009-04-27 |
| 1689601577 | Carol K Roper | Dermatology | 2790 Mosside Blvd, Ste 105, Monroeville, PA 15146 | 2006-06-27 |
| 1457344640 | Jeffrey G Weaver | Dermatology | 2790 Mosside Blvd, Suite 105, Monroeville, PA 15146-2743 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013748 | Consonant Healing Medical Associates of Pa LLC | Dermatology | 49 Smith Mill Rd, New Freedom, PA 17349-8147 | 2020-08-13 |
| 1790395747 | Dermatology Specialists of Pennsylvania | Dermatology | 1122 Street Rd Ste 204, Southampton, PA 18966-4218 | 2020-08-05 |
| 1275151458 | Sylvan Dermatology LLC | Dermatology | 32 Parking Plz Ste 300, Ardmore, PA 19003-2443 | 2020-07-14 |
| 1841819455 | Rowe Dermatology, Pllc | Dermatology | 519 Owen Rd, Wynnewood, PA 19096-1714 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1346882651 | Whalen Dermatology of Pittsburgh PC | Dermatology | 160 Millers Run Rd Ste 500, Bridgeville, PA 15017-1358 | 2019-10-09 |
| 1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
| 1093368185 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Rd Ste 215a, Langhorne, PA 19047-1219 | 2019-07-18 |
| 1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
| 1588147748 | Pittsburgh Skin PC | Dermatology | 144 Emeryville Dr Ste 230, Cranberry Twp, PA 16066-5015 | 2018-09-12 |
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| City | MONROEVILLE |
| Zip Code | 15146 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.