Active NPI
The Center for Skin Surgery PC
- Specialist
- Sewickley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD064345L
- Legal business name
- THE CENTER FOR SKIN SURGERY PC
- Practice address
- 1606 Carmody CT
Suite 302
Sewickley, PA 15143-8568 - Phone
- (724) 940-1005
- Fax
- (724) 940-1006
- NPI assigned
- Feb 1, 2007
- Last updated
- May 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon L Hrabovsky, M.D.
- Title
- President
- Phone
- (724) 940-1005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD064345L | PA | Primary |
Addresses
Primary practice location
1606 Carmody CT
Suite 302
Sewickley, PA 15143-8568
Mailing address
1606 Carmody CT
Suite 302
Sewickley, PA 15143-8568
Phone (724) 940-1005
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200099 | Other | PA | UPMC |
| 003462ZC44 | Other | MEDICARE GROUP MEMBER PROVIDER NUMBER | |
| 1174522619 | Other | PA | PROVIDER NPI |
| 9856097 | Other | PA | AETNA |
| 0016749600006 | Medicaid | PA | |
| 147715 | Other | PA | MEDICARE PTAN |
| 716101 | Other | PA | HIGHMARK |
| 070015781 | Other | PA | RAILROAD MEDICARE |
| 39D0987990 | Other | PA | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0987989 | Center for Skin Surgery PC Lab,the | Compliance | Jul 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
1606 Carmody Ct
Ste 302
Sewickley, PA 15143
Phone (724) 940-1005
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- MOHS-Micrographic Surgery Physician
- Sewickley, PA
- NPI 1174522619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241568000000",
"number": "1871631291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 CARMODY CT",
"address_2": "SUITE 302",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151438568",
"telephone_number": "724-940-1005",
"fax_number": "724-940-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 CARMODY CT",
"address_2": "SUITE 302",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151438568",
"telephone_number": "724-940-1005",
"fax_number": "724-940-1006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CENTER FOR SKIN SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2009-05-06",
"status": "A",
"authorized_official_last_name": "HRABOVSKY",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-940-1005",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PA",
"license": "MD064345L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "200099",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP MEMBER PROVIDER NUMBER",
"identifier": "003462ZC44",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NPI",
"identifier": "1174522619",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9856097",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016749600006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "147715",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "716101",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070015781",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "39D0987990",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sewickley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.