Christine D Ambro (NPI# 1124089362, PAC ID# 0648242909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1124089362 |
| PAC ID by PECOS | 0648242909 |
| Professional Enrollment ID | I20070126000508 |
| Full Name | Christine D Ambro |
| Organization Legal Name | DERM ASSOCIATES LLC |
| Address |
71 Old Mill Bottom Rd N Suite 300 Annapolis MD 21409-5473 |
| Phone Number | 3016817000 |
| Gender | F |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2001 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4688653306 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210023 | ANNE ARUNDEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 | 3016817000 | DERM ASSOCIATES LLC |
| Organization Legal Name | DERM ASSOCIATES LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa L Abrams | Dermatology | Derm Associates LLC | 15245 Shady Grove Rd, Suite 480, Rockville, MD 20850-6243 |
| Kathleen E Ellison | Dermatology | Derm Associates LLC | 8316 Arlington Blvd, Suite 400, Fairfax, VA 22031-5216 |
| Michelle L Burton | Physician Assistant | Derm Associates LLC | 13880 Braddock Rd, Suite 301, Centreville, VA 20121-2462 |
| Benjamin Lockshin | Dermatology | Derm Associates LLC | 10313 Georgia Ave, Suite 309, Silver Spring, MD 20902-5006 |
| Amy B Cole | Dermatology | Derm Associates LLC | 10313 Georgia Ave, Suite 309, Silver Spring, MD 20902-5006 |
| Saurabh Singh | Dermatology | Derm Associates LLC | 10313 Georgia Ave, Suite 309, Silver Spring, MD 20902-5006 |
| Lesley A Sutherland | Dermatology | Derm Associates LLC | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 |
| Brendan Camp | Dermatology | Derm Associates LLC | 10313 Georgia Ave, Suite 309, Silver Spring, MD 20902-5006 |
| Michelle A Demattia | Physician Assistant | Derm Associates LLC | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 |
| Song Jin S Kim | Physician Assistant | Derm Associates LLC | 13880 Braddock Rd, Suite 301, Centreville, VA 20121-2462 |
| Street Address |
71 OLD MILL BOTTOM RD N SUITE 300 |
| City | ANNAPOLIS |
| State | MD |
| Zip | 21409-5473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lesley A Sutherland | Dermatology | Derm Associates LLC | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 |
| Michelle A Demattia | Physician Assistant | Derm Associates LLC | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 |
| Danielle M Goldberg | Nurse Practitioner | Derm Associates LLC | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 |
| Beth G Diamond | Dermatology | Derm Associates LLC | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 |
| Mark Eaton | Dermatology | Derm Associates LLC | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 |
| Gail R Goldstein | Dermatology | Derm Associates LLC | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 |
| Krista K Buckley | Dermatology | Derm Associates LLC | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5473 |
| Slavka V Minassian | Physical Medicine and Rehabilitation | Sleep Disorders Ctrs of The Mid Atlantic LLC | 71 Old Mill Bottom Rd N, Suite 102, Annapolis, MD 21409-5446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie A Foerter | Chiropractic | Two Chicks, LLC | 530 College Pkwy, Suite F, Annapolis, MD 21409-4614 |
| Marissa I Wallie | Chiropractic | Two Chicks, LLC | 530 College Pkwy, Suite F, Annapolis, MD 21409-4614 |
| Walter R Foster | Optometry | Mobile Optical Inc | 85 Manresa Dr, Annapolis, MD 21409-5874 |
| City | ANNAPOLIS |
| Zip Code | 21409 |
| Specialty | DERMATOLOGY |
| City + Specialty | ANNAPOLIS + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.