KING-MACEYKO DERMATOLOGY ASSOC LTD NPI 1316043748

NPI Information

  • NPI: 1316043748
  • Provider Name: KING-MACEYKO DERMATOLOGY ASSOC LTD
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • CLIA Number: 39D0181430
  • Address: 572 PHILADELPHIA ST
    INDIANA, PA
    ZIP 15701
  • Phone: (724) 349-7720

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NPI Details

KING-MACEYKO DERMATOLOGY ASSOC LTD is a dermatology in Indiana, PA. The provider is 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. KING-MACEYKO DERMATOLOGY ASSOC LTD NPI is 1316043748. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

572 PHILADELPHIA ST
INDIANA, PA
ZIP 15701
Phone: (724) 349-7720
Fax: (724) 349-8993

The provider's authorized official is Sandra H King .
The authorized official title is Practice Administrator and has the following contact phone number (814) 536-7045.

The CLIA number assigned to this NPI record is 39D0181430 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/15/2006 and was last updated on 12/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1723056MEDICARE PINPENNSYLVANIA
2723056OTHERPENNSYLVANIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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