CHILDREN'S COMMUNITY CARE (NPI# 1619058559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619058559 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S COMMUNITY CARE |
| Other Organization Name | CHILDREN'S DERMATOLOGY SERVICES |
| Practice Address |
11279 Perry Hwy Ste 108 Wexford PA 15090-9303 |
| Mailing Address |
11279 Perry Hwy Suite 450 Wexford PA 15090-9381 |
| Practice Telephone | 7249339190 |
| Practice Fax Number | 7249339194 |
| Mailing Telephone | 7249331100 |
| Mailing Fax Number | 7249331160 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | LORI GIVENS (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Telephone | 7249331100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 001633210 | 01 |
| Other Name | Type Code |
|---|---|
| Children's Dermatology Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922463694 | Children's Community Care | Pediatrics | 10663 Raystown Road, Suite B, Huntingdon, PA 16652 | 2015-12-23 |
| 1548691785 | Children's Community Care | Pediatrics | 249 Hospital Dr Lowr Level, Everett, PA 15537-7020 | 2013-12-12 |
| 1154764454 | Children's Community Care | Pediatrics | 205 Millers Run Rd Ste 300, Bridgeville, PA 15017-1356 | 2013-04-17 |
| 1962708537 | Children's Community Care | Pediatrics | 1183 Freedom Rd, Suite A101, Cranberry Township, PA 16066-4901 | 2011-01-31 |
| 1184801870 | Children's Community Care | Pediatrics | 3104 Unionville Rd Ste 120, Cranberry Township, PA 16066-3416 | 2008-01-25 |
| 1205013026 | Children's Community Care | Pediatrics | 1000 Infinity Dr Ste 100, Monroeville, PA 15146-2063 | 2008-01-23 |
| 1952587925 | Children's Community Care | Pediatrics | 6000 Brooktree Rd, Suite 207, Wexford, PA 15090-9279 | 2008-01-21 |
| 1023294097 | Children's Community Care | Pediatrics | 1925 Route 51 Ste 100, Jefferson Hills, PA 15025-3681 | 2008-01-21 |
| 1124036637 | Children's Community Care | Pediatrics | 200 Village Dr Ste B, Greensburg, PA 15601-3783 | 2006-08-03 |
| 1508874041 | Children's Community Care | Pediatrics | 4490 Mount Royal Blvd Ste 3300, Allison Park, PA 15101-2685 | 2006-08-03 |
| Street Address |
11279 PERRY HWY STE 108 |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| 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 |
|---|---|---|---|---|
| 1194142059 | Megan Sue Carrigan | Dermatology | 9000 Brooktree Rd Ste 200, Wexford, PA 15090-9288 | 2014-03-27 |
| 1861495426 | Robin P Gehris | Dermatology | 11279 Perry Hwy, Ste 108, Wexford, PA 15090-9303 | 2005-05-27 |
| 1144563925 | Nadia Sundlass | Dermatology | 1000 Stonewood Dr Ste 200, Wexford, PA 15090-8386 | 2013-03-31 |
| 1205185006 | Joshua Wayne Hagen | Dermatology | 1000 Stonewood Dr Ste 200, Wexford, PA 15090-8386 | 2012-09-07 |
| 1538209887 | Debra Tanner Abell Md and Associates | Dermatology | 11676 Perry Hwy, Suite 2305, Wexford, PA 15090-7201 | 2007-02-07 |
| 1558442525 | Debra Tanner Abell | Dermatology | 11676 Perry Hwy, Suite 2305, Wexford, PA 15090-7201 | 2006-10-18 |
| 1881606168 | John Patrick Welsh | Dermatology | 1000 Stonewood Dr, Suite 200, Wexford, PA 15090-8386 | 2006-08-13 |
| 1114968112 | Kristen A Stephen | Dermatology | 1000 Stonewood Dr, Suite 200, Wexford, PA 15090-8386 | 2006-06-09 |
| 1659339547 | Children's Community Care | Dermatology | 11279 Perry Hwy, Suite 450, Wexford, PA 15090-9381 | 2006-05-02 |
| 1396748950 | Douglas Kress | Dermatology | 11279 Perry Hwy, Ste 108, Wexford, PA 15090-9303 | 2005-05-27 |
| Find all providers in WEXFORD | ||||
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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.