Organization Active NPI

Mark P. Seraly, MD, PC

  • Dermatology Physician
  • MC Murray, PA
National Provider Identifier
1881864452
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MARK P. SERALY, MD, PC
Doing business as
Seraly Dermatology
Practice address
222 E McMurray Rd
MC Murray, PA 15317-2948
Phone
(724) 969-2500
Fax
(724) 969-2510
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Dr. Mark Patrick Seraly, M.D.NPI 1912907452
Title
President
Phone
(724) 969-2500

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

222 E McMurray Rd
MC Murray, PA 15317-2948

Mailing address

222 E McMurray Rd
MC Murray, PA 15317-2948
Phone (724) 969-2500

Other names 1

  • Seraly Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101109001159 PA Part B Supplier - Clinic/Group Practice 6204021843 Receives reassigned benefits from 6 practitioners
Practice locations: MC Murray, PA
O20251107003789 PA DME Supplier - Physician - Dermatology 6204021843 Practice locations: MC Murray, 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
39D0969938Mark P Seraly MD PC Laboratory222 East McMurray Road, McMurray, PA 15317Provider-performed microscopyAug 15, 2027

National Provider Directory

National Provider Directory

Locations

222 E McMurray Rd
McMurray, PA 15317
Phone (724) 969-2500

Practitioners & affiliated clinicians

Practitioners 6

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1881864452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E MCMURRAY RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172948",
            "telephone_number": "724-969-2500",
            "fax_number": "724-969-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MCMURRAY RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172948",
            "telephone_number": "724-969-2500",
            "fax_number": "724-969-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P. SERALY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "SERALY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-969-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seraly Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.