Organization Active NPI

Pittsburgh Dermatology & Skin Cancer Center, P.C.

  • Dermatology Physician
  • Monroeville, PA
National Provider Identifier
1508921362
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PITTSBURGH DERMATOLOGY & SKIN CANCER CENTER, P.C.
Practice address
2790 Mosside Blvd
Suite 105
Monroeville, PA 15146-2743
Phone
(412) 372-2277
Fax
(412) 373-2307
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Dr. Jeffrey George Weaver, D.O.
Title
President, Owner
Phone
(412) 372-2277

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

2790 Mosside Blvd
Suite 105
Monroeville, PA 15146-2743

Mailing address

2790 Mosside Blvd
Suite 105
Monroeville, PA 15146-2743
Phone (412) 372-2277

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
39D0177475Pittsburgh Dermatology & Skin Cancer Center2790 Mosside Boulevard Suite 105, Monroeville, PA 15146ComplianceAug 31, 2027

National Provider Directory

National Provider Directory

Locations

2790 Mosside Blvd
Ste 105
Monroeville, PA 15146
Phone (412) 372-2277

2790 Mosside Blvd
Monroeville, PA 15146
Phone (412) 372-2277

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1508921362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 MOSSIDE BLVD",
            "address_2": "SUITE 105",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462743",
            "telephone_number": "412-372-2277",
            "fax_number": "412-373-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 MOSSIDE BLVD",
            "address_2": "SUITE 105",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462743",
            "telephone_number": "412-372-2277",
            "fax_number": "412-373-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH DERMATOLOGY & SKIN CANCER CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "412-372-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.