ANNE ARUNDEL DERMATOLOGY LLC
NPI 1063481703
Dermatology in Annapolis, MD
NPI Status: Active since March 15, 2006
Contact Information
2002 MEDICAL PKWY STE 630
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 224-2260
Fax: (410) 224-3090
- Organization
- Dermatology
- CLIA Number: 21D2205959
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-15-2026
About ANNE ARUNDEL DERMATOLOGY LLC
This page provides the complete NPI Profile along with additional information for Anne Arundel Dermatology Llc, a provider established in Annapolis, Maryland operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1063481703 assigned on March 2006. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated April 2026. Anne Arundel Dermatology Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mark L Welch Md (Chief Medical Officer)
- NPI
- 1063481703
- Provider Name
- ANNE ARUNDEL DERMATOLOGY LLC
- Entity Type
- Organization
- Location Address
- 2002 MEDICAL PKWY STE 630 ANNAPOLIS, MD 21401
- Location Phone
- (410) 224-2260
- Location Fax
- (410) 224-3090
- Mailing Address
- PO BOX 23329 NEW YORK, NY 10087
- Mailing Phone
- (410) 873-8500
- Mailing Fax
- (410) 224-3090
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-15-2006
- Last Update Date
- 04-29-2026
- Code Navigator
A dermatologist like Anne Arundel Dermatology Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Secondary Locations
- 23503 Hollywood Rd Ste 102
Leonardtown, MD 20650
(443) 351-3376 - 2730 University Blvd W Ste 400
Silver Spring, MD 20902
(301) 933-0960 - 301 W Watersville Rd Ste 2
MOUNT AIRY, MD 21771
(443) 351-3376 - 3430 Worthington Blvd Ste 205
Urbana, MD 21704
(301) 933-1547 - 4 Caulk Ln Ste B
Easton, MD 21601
(410) 822-8223 - 410 Meadow Creek Dr Ste 205
Westminster, MD 21158
(301) 829-4185 - 9948 N Main St Unit 1
Berlin, MD 21811
(410) 921-3376 - 180 Admiral Cochrane Dr Ste 410
Annapolis, MD 21401
(667) 383-7546 - 180 Admiral Cochrane Dr Ste 420
Annapolis, MD 21401
(667) 383-7546 - 15225 Shady Grove Rd Ste 303
Rockville, MD 20850
(301) 216-2980 - 2002 Medical Pkwy Ste 630
Annapolis, MD 21401
(410) 224-2260 - 231 Najoles Rd Ste 300
Millersville, MD 21108
(443) 351-3376 - 180 Admiral Cochrane Dr Ste 430
Annapolis, MD 21401
(410) 339-0760 - 54 Scott Adam Rd Ste 301
Hunt Valley, MD 21030
(410) 666-3960 - 995 N Prince Frederick Blvd Ste 205
Prince Frederick, MD 20678
(443) 351-3376 - 510 Upper Chesapeake Dr Pavilion III Ste 415
Bel Air, MD 21014
(410) 939-0961 - 1035 Champions Way Ste 100
Suffolk, VA 23435
(757) 967-0790 - 12695 McManus Blvd Ste 4A-B
Newport News, VA 23602
(757) 369-0439 - 810 Landmark Dr Ste 120-122
Glen Burnie, MD 21061
(443) 351-3376 - 8401 Connecticut Ave Ste 210
Chevy Chase, MD 20815
(240) 482-2555 - 8505 Arlington Blvd Ste 200
Fairfax, VA 22031
(301) 564-3131 - 930 Revolution St
Havre DE Grace, MD 21078
(410) 939-0961 - 7921 Jones Branch Dr Ste 320
Mc Lean, VA 22102
(703) 827-7008 - 810 Gleneagles Ct Ste 204
Towson, MD 21286
(443) 351-3376 - 810 Landmark Dr Ste 217-219
Glen Burnie, MD 21061
(410) 766-1324 - 11510 Old Georgetown Rd
Rockville, MD 20852
(301) 881-4124 - 1185 Imperial Dr Ste 201
Hagerstown, MD 21740
(240) 707-3757 - 115 Sallitt Drive East
Stevensville, MD 21666
(443) 351-3376 - 7101 Guilford Dr Ste 105
Frederick, MD 21704
(855) 314-1425 - 7501 Greenway Center Drive Fl 10 Ste 1000
Greenbelt, MD 20770
(301) 345-7375 - 7671 Quarterfield Rd Ste 200A
Glen Burnie, MD 21061
(443) 351-3376 - 7671 Quarterfield Rd Ste 200B
Glen Burnie, MD 21061
(443) 351-3376 - 995 N Prince Frederick Blvd Ste 204
Prince Frederick, MD 20678
(443) 351-3376 - 1069 Centerbrooke Ln
Suffolk, VA 23434
(757) 925-1860 - 10700 Charter Dr Ste 300
Columbia, MD 21044
(667) 375-3376 - 11351 Random Hills Rd Ste 200
Fairfax, VA 22030
(571) 234-6078 - 5630 Lowery Rd
Norfolk, VA 23502
(757) 455-5009 - 5977 Exchange Dr Ste C-D
Sykesville, MD 21784
(443) 351-3376 - 6410 Rockledge Dr Ste 300
Bethesda, MD 20817
(301) 564-3131 - 6410 Rockledge Dr Ste 402
Bethesda, MD 20817
(301) 530-4800 - 6163 Executive Blvd
Rockville, MD 20852
(855) 314-1425 - 125 Market St
Virginia Beach, VA 23462
(757) 437-8900
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207ZD0900X | Allopathic & Osteopathic Physicians | Pathology | |
| 4 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2205959
- Facility Type
- Physician Office
- Certificate Effective Date
- December 16, 2024
- Certificate Expiration Date
- December 15, 2026
- Laboratory Director
- DR. RONALD B. PRUSSICK
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Anne Arundel Dermatology Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063481703, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063481703, enumerated as an "organization" on March 15, 2006.
The provider is located at 2002 MEDICAL PKWY STE 630 ANNAPOLIS, MD 21401 and the phone number is (410) 224-2260.
Dermatology with taxonomy code 207N00000X.
