CITY DERMATOLOGY, LLC (NPI# 1881168615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881168615 |
| Entity Type | Organization |
| Organization Name | CITY DERMATOLOGY, LLC |
| Practice Address |
5632 Annapolis Rd Ste 4 Bladensburg MD 20710-2213 |
| Mailing Address |
2404 Colston Dr Apt 203 Silver Spring MD 20910-2526 |
| Practice Telephone | 3012330243 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | DR. MARC ZHANG (OWNER) |
| Authorized Official Telephone | 3012330243 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04824517 | 05 |
| Street Address |
5632 ANNAPOLIS RD STE 4 |
| City | BLADENSBURG |
| State | MD |
| Zip Code | 20710-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407226889 | Marc Zhang | Nurse Practitioner | 5632 Annapolis Rd Ste 4, Bladensburg, MD 20710-2213 | 2015-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745969 | Kudirat Yusuf | Registered Nurse | 5106 Upshur St, Bladensburg, MD 20710 | 2018-10-12 |
| 1083100903 | Solange Lum Ngwa | Home Health | 3801 Kenilworth Ave Apt 401e, Bladensburg, MD 20710 | 2018-07-03 |
| 1093215816 | Bilikis Adejoke Bello I | Home Health Aide | 4265 58th Ave Apt T1, Bladensburg, MD 20710 | 2018-02-19 |
| 1689047409 | Lifeline Incoporation | Custodial Care Facility | 502 Varnum Street, Bladensburg, MD 20710 | 2015-11-02 |
| 1881016376 | Emmanuel Achaleke | Student in an Organized Health Care Education/Training Program | 5800 Annapolis Road, Apartment 807, Bladensburg, MD 20710 | 2014-01-17 |
| 1912338716 | Omoseke Olasesan | Home Health Aide | 5006 57th Ave, Bladensburg, MD 20710 | 2013-12-03 |
| 1629400171 | Okechukwu N Emmanuel | Home Health Aide | 5030 57th Ave Apt 201, Bladensburg, MD 20710 | 2013-08-07 |
| 1831534775 | Idowu Ojo | Home Health Aide | 5202 Varunm St, Bladensburg, MD 20710 | 2013-05-06 |
| 1558609479 | Osman Tot Kamara | Home Health Aide | 4319 57th Ave Apt 10, Bladensburg, MD 20710 | 2013-01-28 |
| 1659636942 | Afoussath Amoussa | Home Health Aide | 5021 Townsend Way, A3, Bladensburg, MD 20710 | 2012-07-12 |
| Find all providers in zip 20710 | ||||
| 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 |
|---|---|---|---|---|
| 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 | BLADENSBURG |
| Zip Code | 20710 |
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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.