JEN-JOHN INC (NPI# 1114039377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114039377 |
| Entity Type | Organization |
| Organization Name | JEN-JOHN INC |
| Practice Address |
68 Thomas Johnson Dr Suite C Frederick MD 21702 |
| Mailing Address |
Po Box 1924 Frederick MD 21702 |
| Practice Telephone | 3016945292 |
| Practice Fax Number | 3016942319 |
| Mailing Telephone | 3016945292 |
| Mailing Fax Number | 3016942319 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | DIANE S FORD (PRESIDENT) |
| Authorized Official Telephone | 3016945292 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D0040701 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
68 THOMAS JOHNSON DR SUITE C |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639141609 | Peter M Tan | Oral & Maxillofacial Surgery | 68 Thomas Johnson Dr, Suite A, Frederick, MD 21702 | 2006-02-03 |
| 1306024476 | Theresa Marie Gillis | Physician Assistant | 68 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4300 | 2008-01-31 |
| 1659553766 | Diane S. Ford | Dermatology | 68 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4300 | 2007-11-30 |
| 1295897940 | Mark Mazin | Dentist | 68 Thomas Johnson Dr, Frederick, MD 21702-4300 | 2006-12-15 |
| 1467514117 | John Pinetti | Dentist | 68 Thomas Johnson Dr, Frederick, MD 21702-4300 | 2006-12-15 |
| 1811059561 | Glenn Pritchard | Dentist | 68 Thomas Johnson Dr, Frederick, MD 21702-4300 | 2006-12-15 |
| 1710950399 | Mid-maryland Oral and Maxillofacial Surgery Pa | Clinic/Center | 68 Thomas Johnson Dr, Suite A, Frederick, MD 21702 | 2006-02-13 |
| 1871564567 | Ronald C Best | Oral & Maxillofacial Surgery | 68 Thomas Johnson Dr, Ste A, Frederick, MD 21702 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184129975 | Swetcha Lankapalli | Dermatology | 45 Thomas Johnson Dr Ste 209, Frederick, MD 21702-4490 | 2018-03-26 |
| 1588806616 | Jonathan Richard Van Meter | Dermatology | 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 | 2009-04-06 |
| 1649435694 | Frederick Dermatology Associates LLC | Dermatology | 45 Thomas Johnson Dr, Frederick, MD 21702-4425 | 2008-07-18 |
| 1003073958 | Kathleen Marie Moe | Dermatology | 45 Thomas Johnson Drive, Suite 209, Frederick, MD 21702 | 2008-05-19 |
| 1063695005 | Warner & Vanmeter M.d.pa | Dermatology | 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 | 2007-12-13 |
| 1962583955 | Elizabeth Ann Liotta | Dermatology | 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748508 | Mana Dermatology LLC | Dermatology | 7500 Greenway Center Dr Ste 1220, Greenbelt, MD 20770-3502 | 2020-10-20 |
| 1922615509 | Dr. G Laser and Med Spa LLC | Dermatology | 11089 Resort Rd, Ellicott City, MD 21042-2073 | 2020-09-28 |
| 1669099321 | Consonant Healing Associates of De LLC | Dermatology | 909 Ridgebrook Rd Ste 220, Sparks, MD 21152-9476 | 2020-06-29 |
| 1366074023 | Consonant Healing, LLC | Dermatology | 1370 Lamberton Dr Ste 16, Silver Spring, MD 20902-3422 | 2020-02-10 |
| 1366900235 | Sarah Herdeman | Dermatology | 173 Saint Patricks Dr Ste 201, Waldorf, MD 20603-5531 | 2019-03-08 |
| 1710450408 | Givonshy Smith | Dermatology | 10478 Campus Way S # 185, Upper Marlboro, MD 20774-1304 | 2019-01-06 |
| 1679040208 | Ebony Nelson | Dermatology | 6031 Liberty Rd, Gwynn Oak, MD 21207-6206 | 2018-11-01 |
| 1033659164 | Eternal Dermatology and Aesthetic Center LLC | Dermatology | 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 | 2017-03-08 |
| 1598111254 | Alyssa Klein | Dermatology | 1447 York Rd Ste 301, Lutherville Timonium, MD 21093-6022 | 2016-05-11 |
| 1265896633 | George Olen Denny | Dermatology | 601 N Caroline St Ste 8072, Baltimore, MD 21287-0006 | 2016-04-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEN-JOHN INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.