CHILDRENS COMMUNITY CARE NPI 1891425369

NPI Information

  • NPI: 1891425369
  • Provider Name: CHILDRENS COMMUNITY CARE
  • Classification: Dermatology - 207NP0225X
  • Specialization: Pediatric Dermatology
  • Entity Type: Organization
  • Doing Business As: CHILDREN'S DERMATOLOGY SERVICES
  • CLIA Number: 39D2265148
  • Address: 100 TECHNOLOGY DR STE 2
    BUTLER, PA
    ZIP 16001
  • Phone: (724) 933-9190

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NPI Details

CHILDRENS COMMUNITY CARE is a pediatric dermatology dermatology in Butler, PA. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. CHILDRENS COMMUNITY CARE NPI is 1891425369. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's Dermatology Services.

The provider's business location address is:

100 TECHNOLOGY DR STE 2
BUTLER, PA
ZIP 16001-792
Phone: (724) 933-9190
Fax: (724) 933-9194

The provider's authorized official is Lori Martinez .
The authorized official title is Executive Administrator Iii and has the following contact phone number (724) 933-1100.

The CLIA number assigned to this NPI record is 39D2265148 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2022 and was last updated on 9/13/2023.

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
1207NP0225XDermatologyPediatric DermatologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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