CYNTHIA MARIE CARVER DEKLOTZ (NPI# 1619134731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619134731 |
Entity Type | Individual |
Full Name | CYNTHIA MARIE CARVER DEKLOTZ |
Practice Address |
4200 Wisconsin Ave Nw Fourth Floor Washington DC 20016-2143 |
Mailing Address |
110 Irving St Nw Suite 2b 44 Washington DC 20010-3017 |
Practice Telephone | 2022950547 |
Enumeration Date | 2008-05-16 |
Last Update Date | 2014-12-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | D0078695 | MD | Allopathic & Osteopathic Physicians |
Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
MD042708 | DC | Allopathic & Osteopathic Physicians |
Street Address |
4200 WISCONSIN AVE NW FOURTH FLOOR |
City | WASHINGTON |
State | DC |
Zip Code | 20016-2143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124061510 | John Richard Reilly | Emergency Medicine | 4200 Wisconsin Ave Nw, #223, Washington, DC 20016-2143 | 2006-06-14 |
1750919940 | Catherine Costa | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-01 |
1548822737 | Shruti Shekhar Gothoskar | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-07-08 |
1477013498 | Nathan Stephen Bryan | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-03-25 |
1215497169 | Mahak Chopra | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-03-25 |
1790245421 | Fumitaka Sugiguchi | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-03-20 |
1265991004 | Sherene Agama | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-03-19 |
1124513551 | Stephanie Rita Saaybi | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, (4th Floor), Washington, DC 20016 | 2018-06-27 |
1083109730 | Maria Kristina Ilse Kern | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-06-26 |
1629575741 | Saloni Bhatt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
Find all providers in zip 20016 |
Taxonomy Code | 207NP0225X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Pediatric Dermatology |
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
City | WASHINGTON |
Zip Code | 20016 |
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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.