Mt. Lebanon Dermatology Associates, PC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

MT. LEBANON DERMATOLOGY ASSOCIATES, PC

Practice address

607 Washington Rd Lowr Level
Pittsburgh, PA 15228-1903

Phone

(412) 841-6758

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Loren S Funt, MD

Title

President

Phone

(412) 841-6758

Specialties & licenses 2

Addresses

Other names 1

• Mt. Lebanon Dermatology Associates, PC Doing business as

Locations

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1356983290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 FLORIDA AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282012",
            "telephone_number": "412-841-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WASHINGTON RD LOWR LEVEL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281903",
            "telephone_number": "412-841-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. LEBANON DERMATOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "FUNT",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-841-6758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Lebanon Dermatology Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt. Lebanon Dermatology Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Lois Mrvos, M.D.
• Mt Lebanon Internal Medicine, PC
• Mt Lebanon Vision Center
• Mt Oliver Dental
• Mt. Lebanon Chiropractic
• Mt. Lebanon Dermatology, PC
• Mt. Lebanon Operations LLC
• Mt. Lebanon Psychological Diagnostics, Inc
• Mt. Lebanon Rehabilitation & Nursing LLC
• Mt. Lebanon Senior Care, LLC

• MOHS-Micrographic Surgery Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• MOHS-Micrographic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.