Maria Valiente Pucevich, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD027600E Issued in PA

Practice address

500 Cherrington Pkwy Ste 410
Coraopolis, PA 15108-4749

Phone

(412) 262-1064

Fax

(412) 262-3904

NPI assigned

Oct 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dermatology Associates of Western Pennsylvania Inc.

  • Dermatology Physician
  • Coraopolis, PA
  • NPI 1205271624
  Medicare reassignment NPD
• Dermatology Associates of Western Pennsylvania Inc.

  dba Dermatology Associates of Western Pennsylvania

  • Dermatology Physician
  • Coraopolis, PA
  • NPI 1467509810
  NPD

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1568451821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHERRINGTON PKWY STE 410",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084749",
            "telephone_number": "412-262-1064",
            "fax_number": "412-262-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHERRINGTON PKWY STE 410",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084749",
            "telephone_number": "412-262-1064",
            "fax_number": "412-262-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCEVICH",
        "first_name": "MARIA",
        "middle_name": "VALIENTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD027600E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Ponce, LPC
• Jennifer Slane Porco, PH.D.
• Kathleen Prince-Pennington, LPC MS ED
• Brian Edward Pucevich, M.D.
• Charles L Pucevich, MD
• Qpharma Inc
• Joanne Kathryn Racicot, RPH
• Ryan Raible
• Ann Marie Rapone
• Diane Rdissi, OTR

• Dermatology Physician in Coraopolis, PA
• Providers in Coraopolis, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.