Dubois Dermatology and Cosmetics, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD453398 Issued in PA

Legal business name

DUBOIS DERMATOLOGY AND COSMETICS, LLC

Practice address

105 Beaver Dr
Suite 200
Dubois, PA 15801

Phone

(814) 371-7546

NPI assigned

Jun 11, 2015

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Skraba

Title

Office Manager

Phone

(814) 371-7546

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: cholsopple@directaddress.net
• Direct secure messaging: randrulonis@directaddress.net

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Amanda Jacobs, M.D.

  • MOHS-Micrographic Surgery Physician
  • State College, PA
  • NPI 1811973894

  Dermatology

  Medicare reassignment Care Compare group NPD
• Lisa Fairman Pfingstler, M.D.

  • Dermatology Physician
  • Du Bois, PA
  • NPI 1851511471
  Medicare reassignment Care Compare group NPD
• Amber N Beck, PA-C

  • Physician Assistant
  • Du Bois, PA
  • NPI 1174004675
  Medicare reassignment Care Compare group
• Alisha Ann Torretti

  • Medical Physician Assistant
  • Greensburg, PA
  • NPI 1972087484
  Medicare reassignment Care Compare group
• Catherine Anne Holsopple, PA-C

  • Physician Assistant
  • Saint Marys, PA
  • NPI 1295280758
  Medicare reassignment

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1225419666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BEAVER DR",
            "address_2": "SUITE 200",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "814-371-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BEAVER DR",
            "address_2": "SUITE 200",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "814-371-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS DERMATOLOGY AND COSMETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "SKRABA",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-371-7546"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD453398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randrulonis@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "105 Beaver Dr",
            "address_2": "Suite 200",
            "city": "DuBois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpfingstler@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "105 Beaver Dr",
            "address_2": "Suite 200",
            "city": "DuBois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cholsopple@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "xml",
            "address_1": "105 Beaver Dr",
            "address_2": "Suite 200",
            "city": "DuBois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allen Binoy Dsouza, M.D.
• Du Bois Nephrology Associates, PC
• Dubois Area School District
• Dubois Continuum of Care Community, Inc. (DuBois Nursing Home)
• Dubois Continuum of Care Community, Inc. (Continuum Crossings Rehabilitation)
• Dubois Emergency Medical Services Ambulance
• Dubois Home Care
• Dubois Internal Medicine Associates, Inc.
• Dubois Medical Supply Company, Inc.
• Dubois Oral Surgery, PLLC

• Dermatology Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.