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Dr. Matthew Shane Petrie, M.D.

Dermatology Physician in Mc Murray, PA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114128808

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Registry record

Entity type Individual (Type 1)
Name Dr. Matthew Shane Petrie
Credential M.D.
Sex Male
Practice address 3055 Washington Rd, Suite 203, Mc Murray, PA, 15317
Fax (724) 260-5425
Enumeration date May 30, 2007
Last updated in NPPES Jan 9, 2018

Taxonomy & licenses

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License D72126 (MD) Secondary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License MD438908 (PA) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License MD438908 (PA) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License D72126 (MD) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
102851711-0002 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Matthew Petrie's NPI record?
Cross-check NPI 1114128808 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1114128808 active?
Yes, as of the latest NPPES snapshot, NPI 1114128808 is active (record last updated 2018-01-09).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-09.