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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
C07081 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | PA LICENSE NUMBER | C07081 | 01 |
Street Address |
9515 DEERECO RD STE 208 |
City | TIMONIUM |
State | MD |
Zip Code | 21093-2153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
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 |
Find all providers in zip 21093 |
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 |
---|---|---|---|---|
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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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.