SOUTHERN MARYLAND SKIN SPECIALISTS, PC (NPI# 1558497362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558497362 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND SKIN SPECIALISTS, PC |
| Practice Address |
55 Stoakley Rd Ste F Prince Frederick MD 20678-3859 |
| Practice Telephone | 4105355855 |
| Practice Fax Number | 4105356574 |
| Mailing Telephone | 4105355855 |
| Mailing Fax Number | 4105356574 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | A. FRANK TRIANA (PRESIDENT) |
| Authorized Official Telephone | 4105355855 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D00037292 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
55 STOAKLEY RD STE F |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| 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 |
|---|---|---|---|---|
| 1336213503 | Alvanus Howland Hartley | Dermatology | 995 Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678-3198 | 2006-11-20 |
| 1922327022 | Mary Miller Braden | Dermatology | 995 Prince Frederick Blvd Ste 204, Prince Frederick, MD 20678-5101 | 2010-05-28 |
| 1295875763 | Calvert Dermatology, LLC | Dermatology | 130 Hospital Rd, Ste. 200, Prince Frederick, MD 20678-4015 | 2007-02-07 |
| 1346380896 | Faris Hawit | Dermatology | 130 Hospital Rd, Ste 200, Prince Frederick, MD 20678-4015 | 2007-02-07 |
| 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 | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.