INTEGRATED DERMATOLOGY OF CHEVY CHASE, LLC (NPI# 1104374081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104374081 |
| Entity Type | Organization |
| Organization Name | INTEGRATED DERMATOLOGY OF CHEVY CHASE, LLC |
| Practice Address |
5530 Wisconsin Ave Ste 1418 Chevy Chase MD 20815-4302 |
| Mailing Address |
4700 Exchange Ct Ste 110 Boca Raton FL 33431-4450 |
| Practice Telephone | 3019861880 |
| Mailing Telephone | 5613142000 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | ADAM S. PLOTKIN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5613142000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Street Address |
5530 WISCONSIN AVE STE 1418 |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356500011 | Hyland Elizabeth Cronin | Dermatology | 5530 Wisconsin Ave Ste 1418, Chevy Chase, MD 20815-4302 | 2008-06-06 |
| 1659900850 | Cronin Dermatology and Skin Cancer | Dermatology | 5530 Wisconsin Ave Ste 1418, Chevy Chase, MD 20815-4302 | 2020-04-08 |
| 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 | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385651 | Primary Care Dermatology | Dermatology | 8890 Centre Park Dr Ste 300, Columbia, MD 21045-2198 | 2018-08-13 |
| 1750791349 | Joel C Sunshine | Dermatology | 601 N Caroline St # 8065, Baltimore, MD 21287-0006 | 2014-05-05 |
| 1922443324 | Cohen Dermatopathology, PC | Dermatology | 5850 Waterloo Rd Ste 140, Columbia, MD 21045 | 2013-04-30 |
| 1346494549 | Lawrence R. Feldman, M.d., P.C. | Dermatology | 902 Washington Rd Ste E, Westminster, MD 21157-5832 | 2008-11-14 |
| 1457306466 | Matthew Harold Katz | Dermatology | 11510 Old Georgetown Rd, Rockville, MD 20852-2736 | 2006-05-24 |
| 1538112560 | William W Stocker | Dermatology | 588 Bellerive Rd, Annapolis, MD 21409-4699 | 2006-05-19 |
| 1275501959 | Grace F. Kao | Dermatology | 405 W Redwood St., 6th Floor, Baltimore, MD 21201-7005 | 2006-03-09 |
| 1912190117 | Robert Katz & Matthew Katz Md Pa | Dermatology | 11510 Old Georgetown Rd, Rockville, MD 20852-2736 | 2007-08-21 |
| 1487859328 | Donna Marie Hepper | Dermatology | 1447 York Rd, Suite 301, Lutherville Timonium, MD 21093-6017 | 2007-06-20 |
| 1629121801 | Janis Marie Taube | Dermatology | 600 N Wolfe St, Dept. Pathology, Rm 401 Carnegie, Baltimore, MD 21287-0005 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
| City | CHEVY CHASE |
| Zip Code | 20815 |
Please comment or provide details below to improve the information on INTEGRATED DERMATOLOGY OF CHEVY CHASE, LLC.
| 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.