Individual provider Active NPI

Katherine Chilek Marks, D.O.

  • Pediatric Dermatology Physician
  • Danville, PA
National Provider Identifier
1205087954
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
OS015302 Issued in PA
Practice address
115 Woodbine LN
Danville, PA 17821-9118
Phone
(570) 271-8050
Fax
(570) 271-5940
NPI assigned
Sep 30, 2008
Last updated
Aug 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS015302 PA
Pediatric Dermatology Physician 207NP0225X OS015302 PA Primary

Addresses

Primary practice location

115 Woodbine LN
Danville, PA 17821-9118

Mailing address

115 Woodbine Lane
Danville, PA 17821
Phone (570) 271-8050

Other names 1

  • Katherine Douglass Chilek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130709000620 PA Practitioner - DermatologyPractitioner - Pediatric Medicine 2264672518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pediatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11279 Perry Hwy
Suite 450
Wexford, PA 15090-9303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Multi-Specialty CurrentSince Dec 26, 2024 Accepting new patients
Pinnacle Health Medical Services Multi-Specialty CurrentSince Dec 26, 2024 Accepting new patients
Pinnacle Health Medical Services Multi-Specialty Current Accepting new patients
Geisinger Medical Center Past Accepting new patients
Windber Hospital, Inc. Multi-Specialty Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: katherine.c.marks@upmcdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1205087954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WOODBINE LANE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "17821",
            "telephone_number": "570-271-8050",
            "fax_number": "570-271-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219118",
            "telephone_number": "570-271-8050",
            "fax_number": "570-271-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "KATHERINE",
        "middle_name": "CHILEK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS015302",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "PA",
            "license": "OS015302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "CHILEK",
            "middle_name": "DOUGLASS",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.