Regina Anderson


Address: 4100 N Charles St, Suite 114, Baltimore, MD 21218-1026
Phone: 4108897600

Regina Anderson (NPI# 1164474920, PAC ID# 5698962462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1164474920
PAC ID by PECOS 5698962462
Professional Enrollment ID I20101206000533
Full Name Regina Anderson
Address 4100 N Charles St
Suite 114
Baltimore
MD 21218-1026
Phone Number 4108897600
Gender F
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1977
Primary Specialty DERMATOLOGY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4100 N Charles St, Suite 114, Baltimore, MD 21218-1026 4108897600

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 100%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 100%

Organization Information

Office Location

Street Address 4100 N CHARLES ST
SUITE 114
City BALTIMORE
State MD
Zip 21218-1026

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Name Specialty Organization Address
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Sandra B Snow Clinical Social Worker 3811 Canterbury Rd, Baltimore, MD 21218-2340
Christy Mcdermott Wooton Clinical Social Worker 3811 Canterbury Rd, Baltimore, MD 21218-2340
Jonathan A Johnson General Surgery 3801 Canterbury Rd, Unit 711, Baltimore, MD 21218-2376
Alicia Morgan-cooper Pediatric Medicine Privia Medical Group,llc One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432
Patricia Marie Disharoon Internal Medicine 3414 Saint Paul St, Baltimore, MD 21218-2701
Diane F Gutterman Psychiatry 3501 Saint Paul St, Suite 142, Baltimore, MD 21218-2726
Gregory L Walker Internal Medicine 3300 N Calvert St, Suite 540, Baltimore, MD 21218-2820
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Competitor

Search similar physicians

City BALTIMORE
Zip Code 21218
Specialty DERMATOLOGY
City + Specialty BALTIMORE + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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