REGINA ANDERSON (NPI# 1164474920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164474920 |
| Entity Type | Individual |
| Full Name | REGINA ANDERSON |
| Credential | MD |
| Practice Address |
4100 N Charles Street Suite 114 Baltimore MD 21218 |
| Practice Telephone | 4108897600 |
| Practice Fax Number | 4108897699 |
| Mailing Telephone | 4108897600 |
| Mailing Fax Number | 4108897699 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D23825 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 0004266216 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164690533 | Regina Marie Anderson | Speech-Language Pathologist | 14913 Se Stevenson Dr, Vancouver, WA 98683-8352 | 2008-02-19 |
| 1891771754 | Regina Anderson | Nurse Practitioner | 1000 Haynes St, Memphis, TN 38114-3374 | 2005-12-21 |
| 1891260527 | Regina Anderson | Licensed Practical Nurse | 224 Columbus Rd, Athens, OH 45701-1334 | 2018-10-09 |
| 1780173930 | Regina Deann Anderson | Behavior Technician | 150 Sutter St Unit 120, San Francisco, CA 94104-9004 | 2018-05-03 |
| 1356609952 | Regina Anderson | Home Health Aide | 1818 New York Ave, Suite 117 Global Healthcare Inc., Ne, DC 20002 | 2012-05-02 |
| 1982726675 | Regina Anderson | Social Worker | 5325 Greenwood Ave, Suite 201, West Palm Beach, FL 33407-2452 | 2007-04-04 |
| Street Address |
4100 N CHARLES STREET SUITE 114 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| 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 |
|---|---|---|---|---|
| 1265896633 | George Olen Denny | Dermatology | 601 N Caroline St Ste 8072, Baltimore, MD 21287-0006 | 2016-04-11 |
| 1568801801 | Kristin Page Bibee | Dermatology | 601 N Caroline St # 8083, Baltimore, MD 21287 | 2013-06-20 |
| 1174960306 | Jeffrey F. Scott | Dermatology | 601 N Caroline St # 8072, Baltimore, MD 21287-0006 | 2013-05-29 |
| 1205191400 | Shawn Kwatra | Dermatology | 601 N Caroline St Ste 8065, Baltimore, MD 21287-0006 | 2012-07-12 |
| 1508132846 | Elise Ng | Dermatology | 4940 Eastern Ave # 01, Baltimore, MD 21224-2735 | 2012-03-30 |
| 1760772685 | Mitchell Klapper M.d., P.a. | Dermatology | 122 Slade Ave Ste 202, Baltimore, MD 21208-4993 | 2011-04-12 |
| 1174813448 | Mamta Bhasker Jhaveri | Dermatology | 601 N Caroline St Fl Street8, Baltimore, MD 21287-0006 | 2011-04-07 |
| 1558688820 | Cecilia Alejandra Larocca | Dermatology | 218 N Charles St, Apt. 1511, Baltimore, MD 21201-4021 | 2010-04-27 |
| 1598998072 | Mary Sopocko | Dermatology | 208 E Chase St, Baltimore, MD 21202-3808 | 2009-08-31 |
| 1538326772 | Sridhar Dronavalli | Dermatology | 419 W Redwood St Ste 160, Baltimore, MD 21201-1782 | 2008-05-16 |
| Find all providers in BALTIMORE | ||||
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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.