Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremy R Etzkorn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497915730

Dr. Jeremy R Etzkorn, MD is a Dermatology in Philadelphia, Pennsylvania. Graduated from Washington University School of Medicine in 2008, 18 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
18
Trained at
Washington University School of Medicine
Licensed in
FL, PA
In the registry since
2008
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD451783 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TRN122223 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence ME110688 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence ME110688 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence ME110688 (FL)

Record details

NPI number1497915730
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2008
Last updated in NPPESMay 15, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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