Keystone Dermatology & Center for Skin Surgery, LLC
NPI 1558549733ActiveOrganization· Dermatology· Altoona, PA
Dermatology in Altoona, Pennsylvania, registered in NPPES in February 2008. The authorized official on file is Gregory John Fulchiero, M.D., M.S., Owner/Operator/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558549733 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2008 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Jan 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | MD432947 | PA |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | MD432947 | PA |
| Dermatology, Dermatopathology | 207ND0900X | MD432947 | PA |
| Dermatology, Procedural Dermatology | 207NS0135X | MD432947 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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