DR. ANNIE VERGHESE (NPI# 1407883051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407883051 |
| Entity Type | Individual |
| Full Name | DR. ANNIE VERGHESE |
| Credential | M.D. |
| Practice Address |
23415 Three Notch Rd Suite 2052 California MD 20619-4017 |
| Mailing Address |
41040 Paw Paw Hollow Ln Leonardtown MD 20650-2160 |
| Practice Telephone | 2402378268 |
| Practice Fax Number | 2402378446 |
| Mailing Telephone | 3014755704 |
| Mailing Fax Number | 3014759483 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D0015709 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 411781600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912168394 | Annie Verghese | Physical Therapist | 250 Cetronia Rd Ste 303, Allentown, PA 18104-9168 | 2008-06-19 |
| 1053505164 | Annie Kannenpla Verghese | Physical Therapist | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2007-08-31 |
| Street Address |
23415 THREE NOTCH RD SUITE 2052 |
| City | CALIFORNIA |
| State | MD |
| Zip Code | 20619-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447235171 | Mia Bartuska Finkelston | Specialist | 23415 Three Notch Rd, Suite 2052, Wildewood Center, California, MD 20619-4017 | 2005-12-15 |
| 1265971477 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 23415 Three Notch Rd, Suite 1101, California, MD 20619-4017 | 2017-02-21 |
| 1942641477 | Dylan Schneider Dds Ms LLC | Dentist | 23415 Three Notch Rd, Suite 2003, California, MD 20619-4017 | 2013-07-12 |
| 1225348303 | Back At Your Best Chiropractic & Physical Therapy | Chiropractor | 23415 Three Notch Rd, Suite 2045, California, MD 20619-4017 | 2010-10-07 |
| 1104043157 | Michael Jeffrey Kuhn | Dentist | 23415 Three Notch Rd, Suite #2003, California, MD 20619-4017 | 2007-04-19 |
| 1518184126 | Michael J Kuhn Dds PC | Dentist | 23415 Three Notch Rd, #2003, California, MD 20619-4017 | 2007-04-18 |
| 1770659609 | John Scott Tidball, Md, PC | Family Medicine | 23415 Three Notch Rd, Ste 2054 Wildewood Ctr, California, MD 20619-4017 | 2006-11-24 |
| 1841379781 | Nichole Lynn Pelletier | Nurse Practitioner | 23415 Three Notch Rd, Suite 2054 Wildwood Center, California, MD 20619-4017 | 2006-11-02 |
| 1760580476 | John Scott Tidball | Family Medicine | 23415 Three Notch Rd, Suite 2054 Wildewood Center, California, MD 20619-4017 | 2006-09-20 |
| 1902830656 | Carl H Ling | Dermatology | 23415 Three Notch Rd, Suite 2052, California, MD 20619-4017 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932412 | Ebony Thomas | Technician | 23560 Fdr Blvd, #402, California, MD 20619 | 2019-10-04 |
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
| 1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
| 1972099489 | Leslie Ann Gilbert | Audiologist | 23077 Three Notch Rd Ste 101, California, MD 20619 | 2018-07-09 |
| 1538575261 | Eric Ndoumbe Ndimasa | Pharmacist | 22565 Three Notch Road, California, MD 20619 | 2014-07-02 |
| 1790121861 | Oluwagbolahan Oladipo Lagoke | Pharmacist | 45482 Miramar Way, Walmart, California, MD 20619 | 2013-05-16 |
| 1831437128 | Dylan Schneider | Dentist | 23415 Three Notch Road, Suite 2003, California, MD 20619 | 2013-01-22 |
| 1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
| 1376742270 | Platinum Eyes | Eyewear Supplier (Equipment, not the service) | 45315 Alton Ln, Suite 16038, California, MD 20619 | 2007-07-12 |
| Find all providers in zip 20619 | ||||
| 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 |
|---|---|---|---|---|
| 1902830656 | Carl H Ling | Dermatology | 23415 Three Notch Rd, Suite 2052, California, MD 20619-4017 | 2006-07-10 |
| 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 |
| 1184129975 | Swetcha Lankapalli | Dermatology | 45 Thomas Johnson Dr Ste 209, Frederick, MD 21702-4490 | 2018-03-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CALIFORNIA |
| Zip Code | 20619 |
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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.