DR. NATASHA AGNES SANDY


Address: 8890 Centre Park Drive, Suite 300b, Columbia, MD 21045-2104
Phone: 4106967553

DR. NATASHA AGNES SANDY (NPI# 1245495365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245495365
Entity Type Individual
Full Name DR. NATASHA AGNES SANDY
Credential M.D.
Practice Address 8890 Centre Park Drive
Suite 300b
Columbia
MD 21045-2104
Mailing Address 2710 Goodwood Rd
Baltimore
MD 21214-2109
Practice Telephone 4106967553
Mailing Telephone 4106967553
Enumeration Date 2008-07-29
Last Update Date 2020-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology 263711 NY Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology D0071050 MD Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 263711 NY Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine D0071050 MD Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 25MA08428600 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD MARYLAND LICENSE D0071050 01
NJ LICENCSE 25MA08428600 01
NY NY LIC 263711 01

Office Location

Street Address 8890 CENTRE PARK DRIVE
SUITE 300B
City COLUMBIA
State MD
Zip Code 21045-2104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497374136 Keenan Eldridge Behavior Technician 8950 Md-108, Suite 100, Columbia, MD 21045 2020-04-13
1730724220 Luci Lee Redman Cassella Family Medicine 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 2019-11-08
1417519414 Howard County Health Department Clinic/Center Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 2019-07-01
1649754490 Dana Pirzchalski Behavioral Analyst 8815 Columbia Parkwary, 4, Columbia, MD 21045 2018-09-18
1871089177 Melissa Jo Kennedy Behavior Technician 8815 Columbia Parkway, 4, Columbia, MD 21045 2018-07-10
1497246193 Kjd Physical Therapist 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 2018-05-29
1174010276 Roger Lee Audiologist 8600 Snowden River Pkwy #309, Columbia, MD 21045 2018-04-16
1811497910 Dominique Nichole Hale Behavior Technician 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 2018-02-15
1982116802 Bradley D. Stiles Acupuncturist 6257 Deep River Cyn, Columbia, MD 21045 2017-11-01
1194234849 University of Maryland Eye Associates, P.a. Eyewear Supplier (Equipment, not the service) 5900 Waterloo Road, Suite 230, Columbia, MD 21045 2017-09-26
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528537057 Cayce Medical Spa, Inc Dermatology 2001 Corona Rd Ste 201, Columbia, MO 65203-5924 2018-11-14
1366946832 Novahealth Medical Group, LLC Dermatology 3208 Lemone Industrial Blvd Ste A, Columbia, MO 65201-8244 2018-03-20
1508248576 Kaitlin Ann Schiavo Dermatology 204 N Keene St Ste 100, Columbia, MO 65201-8136 2015-06-25
1588041289 Megan Casady Dermatology 10710 Charter Dr Ste 420, Columbia, MD 21044-3276 2015-05-01
1104239037 Ashley Miles Jenkins Dermatology 1000 W Nifong Blvd Ste 150, Columbia, MO 65203-5615 2014-06-09
1497000723 Leslie Brooke Mills Dermatology 2011 Corona Rd Ste 207, Columbia, MO 65203-2548 2012-07-24
1225397458 Wynn Kao Dermatology, LLC Dermatology 10705 Charter Dr Ste 330, Columbia, MD 21044-2885 2012-05-08
1073811253 Edward Shmunes Dermatology 3701 Northshore Rd, Columbia, SC 29206-3365 2011-03-11
1316178346 M.r. Taylor Rayburn, Jr. M.d. P.C. Dermatology 1411 Hatcher Ln, Columbia, TN 38401-3535 2009-08-08
1518193630 Chesahna Kindred Dermatology 8900 Columbia 100 Pkwy Ste F, Columbia, MD 21045-2336 2009-06-03
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Competitor

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City COLUMBIA
Zip Code 21045

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Dataset Information

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.

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