Healthcare Provider Details

I. General information

NPI: 1407267115
Provider Name (Legal Business Name): KATHERINE THERESA HRYNEWYCZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE MAYHEW

II. Dates (important events)

Enumeration Date: 05/15/2014
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 MOSSIDE BLVD STE 705
MONROEVILLE PA
15146-2743
US

IV. Provider business mailing address

801 YORK ST
MANITOWOC WI
54220-4630
US

V. Phone/Fax

Practice location:
  • Phone: 412-372-2770
  • Fax: 412-372-4656
Mailing address:
  • Phone: 920-663-9008
  • Fax: 920-684-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD493443
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberMD493443
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: