ANNAPOLIS DERMATOLOGY CENTER, PA (NPI# 1700995974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700995974 |
| Entity Type | Organization |
| Organization Name | ANNAPOLIS DERMATOLOGY CENTER, PA |
| Practice Address |
71 Old Mill Bottom Rd N Suite 300 Annapolis MD 21409-5431 |
| Practice Telephone | 4102683877 |
| Practice Fax Number | 4102688171 |
| Mailing Telephone | 4102683877 |
| Mailing Fax Number | 4102688171 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-07-08 |
| Authorized Official Name | BETH G DIAMOND (PRESIDENT) |
| Authorized Official Telephone | 4102683887 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D0053350 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CH6676 | 05 |
| Street Address |
71 OLD MILL BOTTOM RD N SUITE 300 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21409-5431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070495 | Mark E Eaton | Dermatology | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5410 | 2005-08-11 |
| 1417399783 | Danielle Marie Goldberg | Nurse Practitioner | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5410 | 2013-07-26 |
| 1538339221 | Sleep Disorders Ctrs of The Mid Atlantic LLC | Durable Medical Equipment & Medical Supplies | 71 Old Mill Bottom Rd N, Ste 102, Annapolis, MD 21401-5410 | 2008-03-10 |
| 1316056575 | Michelle Arlene Demattia | Physician Assistant | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5410 | 2006-08-30 |
| 1124089362 | Christine D Ambro | Dermatology | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5431 | 2006-03-29 |
| 1952379745 | Krista K Buckley | Dermatology | 71 Old Mill Bottom Rd N, Ste 300, Annapolis, MD 21409-5410 | 2006-03-09 |
| 1598753097 | Beth G Diamond | Dermatology | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5431 | 2005-10-10 |
| 1720076391 | Gail R Goldstein | Dermatology | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5431 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275953309 | Lesley Anne Sutherland | Dermatology | 71 Old Mill Bottom Rd N Ste 300, Annapolis, MD 21409 | 2014-04-16 |
| 1215206107 | James Johnston Carey | Internal Medicine | 2021 Homewood Rd, Annapolis, MD 21409 | 2011-12-21 |
| 1932350196 | Joyce L. Nay | Social Worker | 1407a Sharps Point Rd, Annapolis, MD 21409 | 2008-10-07 |
| 1912112350 | Jason Karampatsos | Counselor | 1591 Whitehall Road, Annapolis, MD 21409 | 2007-05-11 |
| 1376638908 | Barbara T Furlow | Internal Medicine | 1808 Millridge Court, Annapolis, MD 21409 | 2006-10-03 |
| 1134512213 | Rachel Ruyter | Occupational Therapist | 1613 Trawler Ln, Annapolis, MD 21409-3738 | 2015-03-12 |
| 1508008475 | Matthew Yeazel | Social Worker | 580 Bellerive Rd, Unit 5b, Annapolis, MD 21409-4602 | 2009-03-24 |
| 1710106943 | Jennifer Elizabeth Kondracki | Registered Nurse | 1230 Ramblewood Dr, Annapolis, MD 21409-4607 | 2007-04-25 |
| 1316111842 | Alan Gary Kline | Dentist | 584 Bellerive Rd, Suite #b, Annapolis, MD 21409-4612 | 2008-04-16 |
| 1508420803 | Susan Gail Krohn | Social Worker | 584 Bellerive Rd, Annapolis, MD 21409-4612 | 2019-04-23 |
| Find all providers in zip 21409 | ||||
| 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 |
|---|---|---|---|---|
| 1275953309 | Lesley Anne Sutherland | Dermatology | 71 Old Mill Bottom Rd N Ste 300, Annapolis, MD 21409 | 2014-04-16 |
| 1497723050 | Allan Crane Harrington | Dermatology | 703 Giddings Ave, Suite M, Annapolis, MD 21401-1411 | 2006-03-09 |
| 1386614139 | Heather Andrus Pacheco | Dermatology | 200 Harry S Truman Pkwy Ste 270, Annapolis, MD 21401 | 2006-01-25 |
| 1629070495 | Mark E Eaton | Dermatology | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5410 | 2005-08-11 |
| 1538718622 | Envision Dermatology Holdings Inc | Dermatology | 116 Defense Hwy Ste 102, Annapolis, MD 21401-7040 | 2019-09-10 |
| 1851779573 | Lane Neidig | Dermatology | 2002 Medical Pkwy Ste 630, Annapolis, MD 21401-3059 | 2015-05-14 |
| 1396043402 | Gerald W Newman Md LLC | Dermatology | 2002 Medical Pkwy, Suite 650, Annapolis, MD 21401-3046 | 2011-03-14 |
| 1710118534 | Emma Louise Lanuti | Dermatology | 2002 Medical Pkwy Ste 630, Annapolis, MD 21401-3059 | 2009-07-28 |
| 1316154644 | Kelly Lorraine Mcguigan | Dermatology | 101 Ridgely Ave, Suite 10, Annapolis, MD 21401-1409 | 2007-05-17 |
| 1447218847 | Mary F. Farley | Dermatology | 703 Giddings Ave, Suite 700, Annapolis, MD 21401-1411 | 2006-05-03 |
| Find all providers in ANNAPOLIS | ||||
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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.