Active NPI
Haverford Dermatology PC
- Dermatology Physician
- Bryn Mawr, PA
National Provider Identifier
1104065242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD067032L
- Legal business name
- HAVERFORD DERMATOLOGY PC
- Practice address
- 940 E Haverford Rd
Suite 100
Bryn Mawr, PA 19010-3845 - Phone
- (610) 525-3800
- Fax
- (610) 525-4700
- NPI assigned
- Feb 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stacey Turner, M.D.
- Title
- Physician
- Phone
- (610) 525-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD067032L | PA | Primary |
Addresses
Primary practice location
940 E Haverford Rd
Suite 100
Bryn Mawr, PA 19010-3845
Mailing address
940 E Haverford Rd
Suite 100
Bryn Mawr, PA 19010-3845
Phone (610) 525-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
940 E Haverford Rd
Ste 100
Bryn Mawr, PA 19010
Phone (610) 525-3800
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatopathology Physician
- Bryn Mawr, PA
- NPI 1265431043
-
- Dermatology Physician
- Wynnewood, PA
- NPI 1528329760
-
- Medical Physician Assistant
- Phoenixville, PA
- NPI 1558343749
-
- Nurse Practitioner
- Hershey, PA
- NPI 1659879658
-
- Medical Physician Assistant
- Bryn Mawr, PA
- NPI 1144557554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375315200000",
"number": "1104065242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 E HAVERFORD RD",
"address_2": "SUITE 100",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103845",
"telephone_number": "610-525-3800",
"fax_number": "610-525-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 E HAVERFORD RD",
"address_2": "SUITE 100",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103845",
"telephone_number": "610-525-3800",
"fax_number": "610-525-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVERFORD DERMATOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-12",
"last_updated": "2013-08-01",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "610-525-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "PA",
"license": "MD067032L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.