PANTEA TAMJIDI MD PC (NPI# 1841489804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841489804 |
| Entity Type | Organization |
| Organization Name | PANTEA TAMJIDI MD PC |
| Other Organization Name | TAMJIDI & FARBOUDMANESCH |
| Practice Address |
5454 Wisconsin Ave Suite 1045 Chevy Chase MD 20815-6917 |
| Practice Telephone | 3016524828 |
| Practice Fax Number | 3016522070 |
| Mailing Telephone | 3016524828 |
| Mailing Fax Number | 3016522070 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | DR. PANTEA TAMJIDI (PRESIDENT) |
| Authorized Official Telephone | 3016524828 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
D0063624 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TAMJIDI & FARBOUDMANESCH | Former Legal Business Name - Organization |
| Street Address |
5454 WISCONSIN AVE SUITE 1045 |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687509 | David K Berler | Specialist | 5454 Wisconsin Ave, Ste 950, Chevy Chase, MD 20815-6912 | 2005-05-24 |
| 1558992610 | Brittney Achelle Wagner | Specialist/Technologist | 5454 Wisconsin Ave, Chevy Chase, MD 20815-6901 | 2020-01-28 |
| 1215409495 | Andrew Yost | Physical Therapist | 5454 Wisconsin Ave, Suite 600, Chevy Chase, MD 20815-6927 | 2018-12-27 |
| 1720556616 | Tyler Toggas | Physical Therapy Assistant | 5454 Wisconsin Ave, Chevy Chase, MD 20815-6901 | 2018-11-08 |
| 1285179200 | Healing Voice Center, LLC | Speech-Language Pathologist | 5454 Wisconsin Ave, Suite 1725, Chevy Chase, MD 20815-6901 | 2016-12-29 |
| 1750823704 | Daniel Mervis | Student in an Organized Health Care Education/Training Program | 5454 Wisconsin Ave, Barlow Building #1100, Chevy Chase, MD 20815-6901 | 2016-11-08 |
| 1790237972 | Luna Claire Levinson | Registered Nurse | 5454 Wisconsin Ave, #401, Chevy Chase, MD 20815-6901 | 2016-11-03 |
| 1922556885 | Kathi Kolbe Msw LLC | Social Worker | 5454 Wisconsin Ave, Chevy Chase, MD 20815-6901 | 2016-09-20 |
| 1144775974 | Kathi Kolbe | Social Worker | 5454 Wisconsin Ave, Chevy Chase, MD 20815-6901 | 2016-08-22 |
| 1467906057 | Advanced Pain Medicine Institute, PC | Anesthesiology | 5454 Wisconsin Ave, Suite 1600, Chevy Chase, MD 20815-4404 | 2016-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1700106374 | Sarika Snell | Dermatology | 5454 Wisconsin Ave, #1045, Chevy Chase, MD 20815-6901 | 2010-06-07 |
| 1962686204 | Lynn Mckinley-grant, Md, PC | Dermatology | 5454 Wisconsin Ave, Suite 1275, Chevy Chase, MD 20815-6901 | 2007-12-21 |
| 1558551762 | Brenda J Berberian Md LLC | Dermatology | 5530 Wisconsin Avenue, Suite 1443, Chevy Chase, MO 20815-4320 | 2007-07-25 |
| 1912094491 | Tina B West | Dermatology | 5530 Wisconsin Ave, Suite 1440, Chevy Chase, MD 20815-4404 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555780 | Amanda Lauren Pittillo | Dermatology | 9515 Deereco Rd Ste 208, Timonium, MD 21093-2153 | 2019-02-27 |
| 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 |
| 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 |
| 1891148797 | Johns Hopkins University | Dermatology | 601 N Caroline St, Baltimore, MD 21287-0006 | 2016-07-15 |
| 1952667677 | Acri Dermatology, P.a. | Dermatology | 8100 Sandpiper Circle, Suite 208, Nottingham, MD 21236-4991 | 2012-04-06 |
| Find all providers with the same taxonomy | ||||
| City | CHEVY CHASE |
| Zip Code | 20815 |
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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.