ANNE ARUNDEL DERMATOLOGY, P.A. (NPI# 1063481703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063481703 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL DERMATOLOGY, P.A. |
| Practice Address |
1306 Concourse Dr Ste 201 Linthicum MD 21090 |
| Mailing Address |
1306 Concourse Dr Ste 201 Linthicum MD 21090-1033 |
| Practice Telephone | 4433513376 |
| Mailing Telephone | 4103849311 |
| Mailing Fax Number | 4103849433 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | FAITH DEAVERS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4103849311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 348331201 | 05 |
| Street Address |
1306 CONCOURSE DR STE 201 |
| City | LINTHICUM |
| State | MD |
| Zip Code | 21090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023365988 | Brian Craig Fikes | Registered Nurse | 901 Elkridge Landing Rd Ste 100, Linthicum Heights, MD 21090 | 2012-08-10 |
| 1922354075 | Dimension Health Care | General Acute Care Hospital | 603 Fairmeade Ct, Linthicum, MD 21090 | 2012-07-26 |
| 1720302052 | Freestate Transportation, LLC | Ambulance | 832 Oregon Ave, Suites K-l, Linthicum, MD 21090 | 2010-03-15 |
| 1225170806 | George Edward La Rocco | Internal Medicine | 7323 Aviation Blvd Ms 1178, Linthicum, MD 21090 | 2007-02-12 |
| 1700810629 | Ambumed Inc. | Clinical Medical Laboratory | 803 Barkwood Court, Ste A, Linthicum Heights, MD 21090 | 2006-07-10 |
| 1679521975 | Gloria Suja Domingo | Pediatrics | 809 N Hammonds Ferry Rd Ste C, Linthicum, MD 21090 | 2006-05-05 |
| 1174878441 | Rebecca Lynn Sebastian | Physical Therapist | 609 Global Way, Linthicum, MD 21090 | 2012-07-23 |
| 1538179130 | Ettaly Franke Jobes | Pediatrics | 605 Global Way, Suite 119 Arundel Pediatrics P.a., Linthicum, MD 21090 | 2006-08-08 |
| 1164771762 | Maryland Specialty Surgery Center, LLC | Clinic/Center | 509 Progress Drive, Suite 100, Linthicum, MD 21090-0000 | 2012-08-29 |
| 1497860290 | Barry M Magnus | Family Medicine | 609 Global Way, Concentra, Linthicum, MD 21090-0001 | 2006-08-20 |
| Find all providers in zip 21090 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897360 | Alexia Jones | Specialist | 7903 Orion Cir Unit C- 431, Laurel, MD 20724 | 2020-10-07 |
| 1356956593 | Tara Marcell Pettiford | Specialist | 3530 E Northern Pkwy, Baltimore, MD 21206-1632 | 2020-09-14 |
| 1467063628 | Carlos Eduardo Guillen Garrido Sr. | Specialist | 10221 Arizona Cir, Bethesda, MD 20817-1227 | 2020-08-12 |
| 1609498435 | Tiffany Hope | Specialist | 9048 Balin Ct, Pikesville, MD 21208-2143 | 2020-05-14 |
| 1114555117 | Warfield & Brown Health and Wellness Center, LLC | Specialist | 1001 Cedar Corner Rd Ste D1, Perryville, MD 21903-2306 | 2020-03-27 |
| 1073151262 | Inner Group Inc. | Specialist | 3055 Florence Rd, Woodbine, MD 21797-7834 | 2019-12-18 |
| 1710525159 | Nikita Robinson | Specialist | 12743 Millstream Dr, Bowie, MD 20715-1636 | 2019-12-17 |
| 1841834363 | Jennifer Margarita Cuellar Rodriguez | Specialist | 10 Center Dr Bldg 10 11n248, Bethesda, MD 20892-0001 | 2019-10-29 |
| 1063061596 | Amy Dilweg Wenhold | Specialist | 18644 Tanterra Way, Brookeville, MD 20833-2832 | 2019-09-06 |
| 1144876806 | Dominic T Mitchell | Specialist | 4626 Kavon Ave, Baltimore, MD 21206-5706 | 2019-08-17 |
| 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.