Individual provider Active NPI

Deirdre Gardner, CRNP

  • Dermatology Physician
  • Pittsburgh, PA
National Provider Identifier
1255604849
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
TP007003X Issued in PA
Practice address
100 N Wren Drive
Pittsburgh, PA 15243-1248
Phone
(412) 429-2570
Fax
(412) 429-2010
NPI assigned
Feb 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X TP007003X PA Primary

Addresses

Primary practice location

100 N Wren Drive
Pittsburgh, PA 15243-1248

Mailing address

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

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000432 PA Practitioner - Nurse Practitioner 3577723212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vujevich Dermatology Associates PCGroup PAC ID 6901844661, 13 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TP007003XPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Cosmetic Surgery Center PC CurrentSince Jun 1, 2022 Accepting new patients
Vujevich Dermatology Associates PC CurrentSince Jul 23, 2017 Accepting new patients

Locations

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

521 E Bruceton Rd
Pleasant Hills, PA 15236
Phone (412) 429-2570

95 W Beau St
Ste 105
Washington, PA 15301
Phone (412) 429-2570

Interoperability endpoints

  • Direct secure messaging: dgardner@vucare.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72169

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1255604849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WREN DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431248",
            "telephone_number": "412-429-2570",
            "fax_number": "412-429-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WREN DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431248",
            "telephone_number": "412-429-2570",
            "fax_number": "412-429-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DEIRDRE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "TP007003X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.