Active NPI
South Hills Dermatology PC
- Dermatology Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD045711L
- Legal business name
- SOUTH HILLS DERMATOLOGY PC
- Practice address
- 363 Vanadium Rd
Suite 101
Pittsburgh, PA 15243 - Phone
- (412) 279-6799
- Fax
- (412) 279-6722
- NPI assigned
- Jul 16, 2006
- 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. Carol L Neish, MD
- Title
- President
- Phone
- (412) 279-6799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD045711L | PA | Primary |
| Dermatology Physician | 207N00000X | MD0538284 | PA |
Addresses
Primary practice location
363 Vanadium Rd
Suite 101
Pittsburgh, PA 15243
Mailing address
363 Vanadium Rd
Suite 101
Pittsburgh, PA 15243
Phone (412) 279-6799
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760671 | Other | BCBS | |
| 1084397 | Other | AETNA | |
| 7020736 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1044227 | South Hills Dermatology PC | Provider-performed microscopy | Oct 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
2001 Waterdam Plaza Dr
Ste 100
Canonsburg, PA 15317
2001 Waterdam Plaza Dr
Ste 101
McMurray, PA 15317
Phone (412) 262-1064
363 Vanadium Rd
Ste 101
Pittsburgh, PA 15243
Phone (412) 279-6799
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Procedural Dermatology Physician
- Pittsburgh, PA
- NPI 1356307987
-
- Dermatology Physician
- Pittsburgh, PA
- NPI 1144286766
-
- Family Nurse Practitioner
- Pittsburgh, PA
- NPI 1669643813
-
- Medical Physician Assistant
- Somerset, PA
- NPI 1326355363
-
- MOHS-Micrographic Surgery Physician
- Sewickley, PA
- NPI 1174522619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353369600000",
"number": "1104843275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 VANADIUM RD",
"address_2": "SUITE 101",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15243",
"telephone_number": "412-279-6799",
"fax_number": "412-279-6722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 VANADIUM RD",
"address_2": "SUITE 101",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15243",
"telephone_number": "412-279-6799",
"fax_number": "412-279-6722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH HILLS DERMATOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2012-11-20",
"status": "A",
"authorized_official_last_name": "NEISH",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-279-6799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "PA",
"license": "MD045711L",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "PA",
"license": "MD0538284",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1760671",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1084397",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7020736",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
- South End Primary Health Care, PC
- South Hills Cardiology Associates
- South Hills Dental Arts - Ingram, LLC
- South Hills Dental Arts-Usc, LLC
- South Hills Dental Care Company (South Hills Dental Care)
- South Hills Diagnostic & Treatment Center LP (South Hills Endoscopy Center)
- South Hills ENT Association
- South Hills Eye Associates
- South Hills Eye Associates
- South Hills Eye Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.