UNIVERSITY OF MARYLAND DERMATOLOGISTS, PA (NPI# 1578571980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578571980 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MARYLAND DERMATOLOGISTS, PA |
| Practice Address |
419 W Redwood St Suite 160 Baltimore MD 21201-1734 |
| Mailing Address |
Po Box 64445 Baltimore MD 21264-4445 |
| Practice Telephone | 4103283167 |
| Practice Fax Number | 4103281323 |
| Mailing Telephone | 4103285767 |
| Mailing Fax Number | 4103280098 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2011-02-23 |
| Authorized Official Name | ANTHONY GASPARI (CHAIRMAN) |
| Authorized Official Telephone | 4103285767 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BLUE SHIELD | S045 | 01 |
| Street Address |
419 W REDWOOD ST SUITE 160 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775452 | Bahram Sina | Dermatology | 419 W Redwood St, Ste. 160, Baltimore, MD 21201-1734 | 2005-07-22 |
| 1982156659 | Melissa Marie Higgs | Nurse Practitioner | 419 W Redwood St, Suite 360, Baltimore, MD 21201-1734 | 2016-10-28 |
| 1598187205 | Monique Church | Social Worker | 419 W Redwood St, Baltimore, MD 21201-1734 | 2014-01-15 |
| 1033540208 | Margaret Louise Vincent | Social Worker | 419 W Redwood St, Baltimore, MD 21201-1734 | 2013-12-12 |
| 1174954820 | Ashley Tracy | Registered Nurse | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2013-12-05 |
| 1346689437 | Eva Devience | Ophthalmology | 419 W Redwood St, Suite 420, Baltimore, MD 21201-1734 | 2013-06-21 |
| 1982970893 | Patricia Frances Groleau | Student in an Organized Health Care Education/Training Program | 419 W Redwood St, Suite 240, Baltimore, MD 21201-1734 | 2012-03-25 |
| 1093089799 | Rebecca Madeleine Pfender | Registered Nurse | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2012-02-28 |
| 1144504390 | Richelle Joanne Cricks | Advanced Practice Midwife | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2011-10-06 |
| 1083904478 | Wanda Binns | Social Worker | 419 W Redwood St, Ste 570, Baltimore, MD 21201-1734 | 2011-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| 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 |
|---|---|---|---|---|
| 1750791349 | Joel C Sunshine | Dermatology | 601 N Caroline St # 8065, Baltimore, MD 21287-0006 | 2014-05-05 |
| 1275501959 | Grace F. Kao | Dermatology | 405 W Redwood St., 6th Floor, Baltimore, MD 21201-7005 | 2006-03-09 |
| 1629121801 | Janis Marie Taube | Dermatology | 600 N Wolfe St, Dept. Pathology, Rm 401 Carnegie, Baltimore, MD 21287-0005 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385651 | Primary Care Dermatology | Dermatology | 8890 Centre Park Dr Ste 300, Columbia, MD 21045-2198 | 2018-08-13 |
| 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 |
| 1104374081 | Integrated Dermatology of Chevy Chase, LLC | Dermatology | 5530 Wisconsin Ave Ste 1418, Chevy Chase, MD 20815-4302 | 2016-09-20 |
| 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 |
| 1023180395 | Leonard Charles Sperling | Dermatology | 4301 Jones Bridge Rd, Bethesda, MD 20814-4712 | 2006-11-14 |
| 1881647535 | Jean Margaret Moresi | Dermatology | 810 Landmark Drive, Suite 217-219, Glen Burnie, MD 21061 | 2006-05-17 |
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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.