Commonwealth Dermatology, P.C.
NPI 1609239847ActiveOrganization· Dermatology· Mc Murray, PA
Dermatology in Mc Murray, Pennsylvania, registered in NPPES in April 2016. The authorized official on file is Matthew Shane Petrie, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609239847 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2016 |
| Last updated in NPPES | Jun 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | MD438908 | PA |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | MD438908 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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