ALINA GERASYMOVA (NPI# 1205347994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205347994 |
Entity Type | Individual |
Full Name | ALINA GERASYMOVA |
Credential | PA-C, MSHS |
Practice Address |
4801 Dorsey Hall Dr Ste 140 Ellicott City MD 21042-7703 |
Mailing Address |
838 Elmcroft Blvd Rockville MD 20850-5828 |
Practice Telephone | 4109924100 |
Mailing Telephone | 7039898248 |
Enumeration Date | 2017-10-20 |
Last Update Date | 2017-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
C0006647 | MD | Allopathic & Osteopathic Physicians |
Street Address |
4801 DORSEY HALL DR STE 140 |
City | ELLICOTT CITY |
State | MD |
Zip Code | 21042-7703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144462243 | Thuy Nguyen,md and Associates,llc | Dermatology | 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042-7703 | 2009-04-03 |
1285268300 | Dathao Huynh | Nurse Practitioner | 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042-7703 | 2020-02-27 |
1265975858 | Dinah Price | Nurse Practitioner | 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042-7703 | 2016-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
Find all providers in zip 21042 |
Taxonomy Code | 207NS0135X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Procedural Dermatology |
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821555780 | Amanda Lauren Pittillo | Dermatology | 9515 Deereco Rd Ste 208, Timonium, MD 21093-2153 | 2019-02-27 |
1609386531 | Tlc Obgyn and Cosmetic Services | Dermatology | 7414 Quail Ridge Ln, Bowie, MD 20720-4352 | 2017-10-05 |
1508103011 | Center for Dermatology and Dermatologic Surgery Management, LLC | Dermatology | 167 Jennifer Rd Ste W, Annapolis, MD 21401-7910 | 2013-01-04 |
1558535351 | Tania Rae Therese Peters | Dermatology | 5471 C2 Wisconsin Avenue, Suite 200, Chevy Chase, MD 20815 | 2008-04-14 |
1306999065 | Peter C Morse | Dermatology | 5425 Wisconsin Ave, Suite 702, Chevy Chase, MD 20815-3552 | 2007-01-18 |
1871514794 | Laurence H Miller Md Pa | Dermatology | 5454 Wisconsin Avenue, Suite #747, Chevy Chase, MD 20815-6901 | 2006-07-23 |
1073581344 | Lawrence J. Green | Dermatology | 9601 Blackwell Rd Ste 260, Rockville, MD 20850-6487 | 2006-03-10 |
1407845779 | James Kevin Poulton | Dermatology | 5233 King Ave, Ste 204, Baltimore, MD 21237-4003 | 2005-10-19 |
1306835681 | Nadine B Acri | Dermatology | 8100 Sandpiper Circle, Suite 208, White Marsh, MD 21236 | 2005-10-19 |
1053310789 | Sanders Harris Berk | Dermatology | 19221 Montgomery Village Ave, C-12, Montgomery Village, MD 20886-5022 | 2005-07-15 |
Find all providers with the same taxonomy |
City | ELLICOTT CITY |
Zip Code | 21042 |
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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.