Organization Active NPI

Dermatologist on Call Medical Group PC

  • Dermatology Physician
  • Latrobe, PA
National Provider Identifier
1972048288
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGIST ON CALL MEDICAL GROUP PC
Practice address
400 Weldon St
Latrobe, PA 15650-1517
Phone
(412) 224-2336
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
John Hollister
Title
Chief Financial Officer
Phone
(412) 314-4062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

400 Weldon St
Latrobe, PA 15650-1517

Mailing address

400 Weldon St
Latrobe, PA 15650-1517

Other names 1

  • DermatologistOnCall Doing business as

National Provider Directory

National Provider Directory

Locations

400 Weldon St
Latrobe, PA 15650
Phone (412) 224-2336

4 Smithfield St
Fl 11
Pittsburgh, PA 15222
Phone (412) 224-2336

Practitioners & affiliated clinicians

Practitioners 1

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": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1972048288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WELDON ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WELDON ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501517",
            "telephone_number": "412-224-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGIST ON CALL MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "HOLLISTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "412-314-4062"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermatologistOnCall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DermatologistOnCall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.