Organization Active NPI

The Center for Skin Surgery PC

  • Specialist
  • Sewickley, PA
National Provider Identifier
1871631291
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD064345L Issued in PA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Sharon L Hrabovsky, M.D.NPI 1174522619
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200099OtherPAUPMC
003462ZC44OtherMEDICARE GROUP MEMBER PROVIDER NUMBER
1174522619OtherPAPROVIDER NPI
9856097OtherPAAETNA
0016749600006MedicaidPA
147715OtherPAMEDICARE PTAN
716101OtherPAHIGHMARK
070015781OtherPARAILROAD MEDICARE
39D0987990OtherPACLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090406000100 PA Part B Supplier - Clinic/Group Practice 5799832929 Receives reassigned benefits from 1 practitioner
Practice locations: Sewickley, PA

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
39D0987989Center for Skin Surgery PC Lab,the1606 Carmody Court Blaymore I, Sewickley, PA 15143ComplianceJul 1, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.