DR. CYLBURN EARL SODEN JR. (NPI# 1891976908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891976908 |
| Entity Type | Individual |
| Full Name | DR. CYLBURN EARL SODEN JR. |
| Credential | M.D., M.A. |
| Practice Address |
13920 Baltimore Ave Laurel MD 20707-5009 |
| Practice Telephone | 3017761094 |
| Practice Fax Number | 3017760456 |
| Mailing Telephone | 3017761094 |
| Mailing Fax Number | 3017760456 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2011-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A95934 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
64075 | GA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
D0020522 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168574 | Cylburn Earl Soden Sr. | Dermatology | 13920 Baltimore Ave, Laurel, MD 20707-5009 | 2006-03-15 |
| Street Address |
13920 BALTIMORE AVE |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168574 | Cylburn Earl Soden Sr. | Dermatology | 13920 Baltimore Ave, Laurel, MD 20707-5009 | 2006-03-15 |
| 1598958084 | Cylburn E Soden M.d.p.a | Specialist | 13920 Baltimore Ave, Laurel, MD 20707-5009 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073828455 | South Central Clinics, Inc | Dermatology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267936 | Beckley Dermatology Inc. | Dermatology | 1110 Professional Ct Ste 201, Hagerstown, MD 21740-5945 | 2018-12-31 |
| 1518480136 | Forefront Dermatology, S.c. | Dermatology | 8134 Old Georgetown Rd, Bethesda, MD 20814 | 2017-07-25 |
| 1407014913 | Zaineb H Makhzoumi | Dermatology | 419 West Redwood Street, Suite 260, Baltimore, MD 21201 | 2008-05-30 |
| 1003002163 | Charles County Surgical Associates, LLC | Dermatology | 4225 Altamont Pl Unit 3, White Plains, MD 20695-3063 | 2007-09-21 |
| 1164458873 | Eric Finzi | Dermatology | 7701 Greenbelt Rd, 504, Greenbelt, MD 20770-2037 | 2006-06-24 |
| 1982670980 | Andrew Denis Montemarano | Dermatology | 6410 Rockledge Drive, Suite 300, Bethesda, MD 20817-7811 | 2006-02-28 |
| 1720059736 | David S Mezebish | Dermatology | 9711 Medical Center Dr Ste 307, Rockville, MD 20850-3385 | 2006-01-28 |
| 1942282371 | Michael Rebert Warner | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2005-11-21 |
| 1659900850 | Cronin Dermatology and Skin Cancer | Dermatology | 5530 Wisconsin Ave Ste 1418, Chevy Chase, MD 20815-4302 | 2020-04-08 |
| 1821582917 | Charles B Toner Md Pa | Dermatology | 9131 Piscataway Rd Ste 550, Clinton, MD 20735 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
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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.