ANNE ARUNDEL DERMATOLOGY, P.A.
NPI 1013747732
Dermatology in Towson, MD

Active since August 06, 2024CLIA 21D2079951 · Certificate of Compliance
810 GLENEAGLES CT STE 204, TOWSON, MD 21286(443) 351-3376(410) 296-5463 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2024, Aug 7, 2024 (2 updates tracked since 2024).

About Anne Arundel Dermatology, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE ARUNDEL DERMATOLOGY, P.A. (NPI 1013747732) is a healthcare organization registered as a dermatology in Towson, Maryland and active in the NPI registry since August 2024. The organization holds a CLIA Certificate of Compliance certificate valid through November 18, 2026 and lists Angela Ruth Peterman, Md, as its authorized official.

NPPES Registry Identity

NPI1013747732
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANNE ARUNDEL DERMATOLOGY, P.A.
Location Address810 GLENEAGLES CT STE 204Towson, MD 21286-2236
Mailing Address1306 Concourse Dr Ste 201Linthicum Heights, MD 21090-1033
Fax(410) 296-5463
Organization SubpartYes
Authorized OfficialAngela Ruth PetermanMd · (443) 351-3376
Enumeration DateAugust 6, 2024
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1013747732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
810 GLENEAGLES CT STE 204, Towson, MD 21286

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D2079951

Anne Arundel Dermatology, PA · Hagerstown, MD
Active · expires Nov 18, 2026
CLIA Number21D2079951
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorCharles Mitchell
Laboratory Phone(443) 351-3376
Laboratory LocationAnne Arundel Dermatology, PA1185 Imperial Drive Ste 201, Hagerstown, MD 21740
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anne Arundel Dermatology, P.A.'s NPI number?

The NPI number for Anne Arundel Dermatology, P.A. is 1013747732. It was assigned to this organization in the NPPES registry on August 6, 2024.

Where is Anne Arundel Dermatology, P.A. located?

Anne Arundel Dermatology, P.A. is located at 810 Gleneagles Ct Ste 204, Towson, MD 21286. The listed phone number is (443) 351-3376.

What is Anne Arundel Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Anne Arundel Dermatology, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D2079951) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anne Arundel Dermatology, P.A. was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.