NPIMap

Organization Active NPI

Dermatology & Cosmetic Surgery Center PC

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1144213547
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
10721500 Issued in PA
Legal business name
DERMATOLOGY & COSMETIC SURGERY CENTER PC
Practice address
100 N Wren Dr
Pittsburgh, PA 15243-1248
Phone
(412) 429-2570
Fax
(412) 429-2572
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marion M Vujevich, MDNPI 1295728699
Title
Ceo
Phone
(412) 429-2570

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 10721500 PA Primary

Addresses

Primary practice location

100 N Wren Dr
Pittsburgh, PA 15243-1248

Mailing address

100 N Wren Dr
Pittsburgh, PA 15243-1248
Phone (412) 429-2570

Other identifiers 5

IdentifierTypeStateIssuer
0077311140002MedicaidPA
2678747OtherPAAETNA US HEALTHCARE
1265OtherPABLUE CROSS
1540531OtherPAUMWA
301440OtherPAUPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000433 PA Part B Supplier - Ambulatory Surgical Center 5799861498 Receives reassigned benefits from 5 practitioners
Practice locations: Pittsburgh, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Dermatology and Cosmetic Surgery Center PCCCN 39C0001078
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1068546Dermatology & Cosmetic Surgery Center PC100 North Wren Drive, Pittsburgh, PA 15243ComplianceSep 17, 2027

National Provider Directory

National Provider Directory

Locations

100 N Wren Dr
Pittsburgh, PA 15243
Phone (412) 429-0276

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1144213547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WREN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431248",
            "telephone_number": "412-429-2570",
            "fax_number": "412-429-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WREN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431248",
            "telephone_number": "412-429-2570",
            "fax_number": "412-429-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & COSMETIC SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "VUJEVICH",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-429-2570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "10721500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077311140002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2678747",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1265",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1540531",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "301440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.

Verify at the official NPI Registry.