DR. MATTHEW SHANE PETRIE (NPI# 1114128808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114128808 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SHANE PETRIE |
| Credential | M.D. |
| Practice Address |
3055 Washington Rd Suite 203 Mc Murray PA 15317-3279 |
| Practice Telephone | 7242605424 |
| Practice Fax Number | 7242605425 |
| Mailing Telephone | 7242605424 |
| Mailing Fax Number | 7242605425 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | MD438908 | PA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | D72126 | MD | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD438908 | PA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
D72126 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102851711-0002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467719054 | Matthew Petrie | Anesthesiology | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2012-04-19 |
| Street Address |
3055 WASHINGTON RD SUITE 203 |
| City | MC MURRAY |
| State | PA |
| Zip Code | 15317-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952498982 | Joseph D Falbo | Optometrist | 3055 Washington Rd, Mc Murray, PA 15317-3279 | 2006-10-10 |
| 1134583271 | The Via Center, P.C. | Psychiatry & Neurology | 3055 Washington Rd, Suite 101, Mc Murray, PA 15317-3279 | 2016-04-05 |
| 1609239847 | Commonwealth Dermatology, P.C. | Dermatology | 3055 Washington Rd, Suite 203, Mc Murray, PA 15317-3279 | 2016-04-04 |
| 1548513815 | Michael F. Hnat Dmd | Dentist | 3055 Washington Rd, Suite 303, Mc Murray, PA 15317-3279 | 2012-10-23 |
| 1710118336 | Christopher S Carr Dc PC | Chiropractor | 3055 Washington Rd, Amici Place Ste 304, Mc Murray, PA 15317-3279 | 2009-07-30 |
| 1316189319 | Red Apple Reading Center | Optometrist | 3055 Washington Rd, Suite 302, Mc Murray, PA 15317-3279 | 2009-04-06 |
| 1265697189 | Vered B. Cohen | Psychiatry & Neurology | 3055 Washington Rd, Suite 101, Mc Murray, PA 15317-3279 | 2008-07-21 |
| 1801059316 | Maya Goldin-perschbacher | Pediatrics | 3055 Washington Rd, Suite 102, Mc Murray, PA 15317-3279 | 2008-07-03 |
| 1699956599 | Marc Alan Yester | Pediatrics | 3055 Washington Rd, Suite 102, Mc Murray, PA 15317-3279 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294062 | Agnes Odelia Strang | Technician | 18 Angerer Rd, Canonsburg, PA 15317 | 2020-01-10 |
| 1578026191 | Centerville Clinics | Social Worker | Peters Township High School, 264 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1700349321 | Centerville Clinics Inc | Social Worker | Peters Township Middle School, 626 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1811450448 | Centerville Clinics Inc | Social Worker | Pleasant Valley Elementary School, 250 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1104315241 | Jill Brandtonies | Nurse Practitioner | 5000 Waterdam Plaza Dr Ste 180, Canonsburg, PA 15317 | 2018-05-03 |
| 1053827527 | Debra Gowans | Registered Nurse | 100 Blue Jay Road, Canonsburg, PA 15317 | 2017-12-20 |
| 1801300462 | Caregivers On Demand LLC | In Home Supportive Care | 125 Technology Dr Ste 103, Canonsburg, PA 15317 | 2017-11-18 |
| 1407365919 | Robert Michael Krak | Dentist | 169 Progress Drive, Waynesburg, PA 15317 | 2017-09-27 |
| 1457873838 | Sara Vallelunga | Physician Assistant | 62 Abbeywood Lane, Canonsburg, PA 15317 | 2017-07-07 |
| 1457770364 | Skraitz Chiropractic PC | Chiropractor | 2476 Washington Road, Canonsburg, PA 15317 | 2014-04-08 |
| Find all providers in zip 15317 | ||||
| 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 |
|---|---|---|---|---|
| 1912907452 | Mark Patrick Seraly | Dermatology | 222 E Mcmurray Rd, Mc Murray, PA 15317-2948 | 2005-07-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.