Children's Community Pediatrics

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHILDREN'S COMMUNITY PEDIATRICS

Doing business as

Children's Dermatology Services

Practice address

205 Millers Run Rd FL 3
Bridgeville, PA 15017-1348

Phone

(724) 933-9190

Fax

(724) 933-9194

NPI assigned

Jul 18, 2014

Last updated

Sep 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Martinez

Title

Executive Administrator III

Phone

(724) 933-1100

Specialties & licenses 2

Addresses

Other names 1

• Children's Dermatology Services Doing business as

Locations

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1952718215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BRADFORD RD STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906910",
            "telephone_number": "724-933-1100",
            "fax_number": "724-933-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MILLERS RUN RD FL 3",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171348",
            "telephone_number": "724-933-9190",
            "fax_number": "724-933-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S COMMUNITY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR III",
        "authorized_official_telephone_number": "724-933-1100"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dermatology Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Dermatology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chartiers Valley School District
• Lori L Cherup, MD
• Nicolette Chiesa, M.D.
• Children's Community Care (Children's Community Pediatrics)
• Children's Community Care (Children's Community Pediatrics)
• Caroline Chismer
• Choice Healthcare LLC
• Michael Christiansen
• Christina Hostutler Counseling LLC
• Laura Cipriani, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.