MRS. AMANDA LAUREN PITTILLO


Address: 9515 Deereco Rd Ste 208, Timonium, MD 21093-2153
Phone: 4104492060

MRS. AMANDA LAUREN PITTILLO (NPI# 1821555780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821555780
Entity Type Individual
Full Name MRS. AMANDA LAUREN PITTILLO
Credential PA-C
Practice Address 9515 Deereco Rd Ste 208
Timonium
MD 21093-2153
Practice Telephone 4104492060
Mailing Telephone 4104492060
Enumeration Date 2019-02-27
Last Update Date 2019-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207NS0135X Dermatology
Specialization: Procedural Dermatology
C07081 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD PA LICENSE NUMBER C07081 01

Office Location

Street Address 9515 DEERECO RD STE 208
City TIMONIUM
State MD
Zip Code 21093-2153

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1497309959 Megan Lagergren Social Worker 1407 York Rd. Suite 307, Baltimore, MD 21093 2019-08-01
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1275001455 Hannah Michele Breckenridge Social Worker 1212 York Rd Ste A302, Lutherville, MD 21093 2018-11-06
1386111573 Christina Calabrese Social Worker Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 2018-10-26
1790279735 Synopsis Healthscience Internal Medicine 19 Huntress Ct, Timonium, MD 21093 2018-06-21
1134648629 Centers for Advanced Orthopaedics, LLC Occupational Therapist 1312 Bellona Ave Ste 302, Lutherville, MD 21093 2017-09-15
1134647746 Andrea Stokes Rackowski Social Worker 1400 Front Ave. Suite 305, Lutherville, MD 21093 2017-09-03
1790200780 Judson Franklin Force Jr. Pediatrics 309 Overlook Dr, Timonium, MD 21093 2017-08-10
1942722053 Eundae Suk Chiropractor 1407 York Rd Ste 302, Lutherville, MD 21093 2017-07-10
1508301482 Bh Brightview Mays Chapel Ridge Opco, LLC Alzheimer Center (Dementia Center) 12261 Roundwood Road, Timonium, MD 21093 2016-12-30
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Taxonomy Information

Taxonomy Code 207NS0135X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Procedural Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1205347994 Alina Gerasymova Dermatology 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042-7703 2017-10-20
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Competitor

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City TIMONIUM
Zip Code 21093

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Dataset Information

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.

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