ANNE ARUNDEL DERMATOLOGY LLC
NPI 1063481703
Dermatology in Annapolis, MD
Active since March 15, 2006CLIA Certified · 15 labs
2002 MEDICAL PKWY STE 630, ANNAPOLIS, MD 21401(410) 224-2260(410) 224-3090 Get Directions Write a Review
About Anne Arundel Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNE ARUNDEL DERMATOLOGY LLC (NPI 1063481703) is a healthcare organization registered as a dermatology in Annapolis, Maryland and active in the NPI registry since March 2006. The organization holds 15 active CLIA laboratory certificates, maintains 42 additional practice locations, and lists Mark L Welch, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
NPI1063481703
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANNE ARUNDEL DERMATOLOGY LLC
Location Address2002 MEDICAL PKWY STE 630Annapolis, MD 21401-3059
Mailing AddressPo Box 23329New York, NY 10087-3329 · (410) 873-8500 · Fax (404) 301-9057
Phone(410) 224-2260
Fax(410) 224-3090
Organization SubpartNo
Authorized OfficialMark L WelchChief Medical Officer · (240) 305-3765
Enumeration DateMarch 15, 2006
Last NPPES UpdateApril 29, 20266 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1063481703 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 5
★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
2002 MEDICAL PKWY STE 630, Annapolis, MD 21401
Secondary Practice Locations 42
Location 1125 Market StVirginia Beach, VA 23462-6794 · Phone (757) 437-8900 · Fax (757) 437-8200
Location 25977 Exchange Dr Ste C-DSykesville, MD 21784-9265 · Phone (443) 351-3376 · Fax (301) 829-4187
Location 35630 Lowery RdNorfolk, VA 23502-2233 · Phone (757) 455-5009 · Fax (757) 362-3577
Location 46163 Executive BlvdRockville, MD 20852-3901 · Phone (855) 314-1425 · Fax (301) 984-3001
Location 56410 Rockledge Dr Ste 402Bethesda, MD 20817-7807 · Phone (301) 530-4800 · Fax (301) 531-1847
Location 66410 Rockledge Dr Ste 300Bethesda, MD 20817-7811 · Phone (301) 564-3131 · Fax (301) 564-6391
Location 723503 Hollywood Rd Ste 102Leonardtown, MD 20650-5925 · Phone (443) 351-3376 · Fax (301) 475-1881
Location 82730 University Blvd W Ste 400Silver Spring, MD 20902-1972 · Phone (301) 933-0960 · Fax (301) 933-1547
Location 9301 W Watersville Rd Ste 2MOUNT AIRY, MD 21771-5868 · Phone (443) 351-3376 · Fax (301) 829-4187
Location 103430 Worthington Blvd Ste 205Urbana, MD 21704-7019 · Phone (301) 933-1547 · Fax (301) 732-4878
Location 114 Caulk Ln Ste BEaston, MD 21601-3808 · Phone (410) 822-8223 · Fax (410) 822-1423
Location 12410 Meadow Creek Dr Ste 205Westminster, MD 21158-9455 · Phone (301) 829-4185 · Fax (301) 829-4187
Location 139948 N Main St Unit 1Berlin, MD 21811-1076 · Phone (410) 921-3376 · Fax (443) 736-1945
Location 14180 Admiral Cochrane Dr Ste 410Annapolis, MD 21401-8405 · Phone (667) 383-7546 · Fax (410) 263-7482
Location 15180 Admiral Cochrane Dr Ste 420Annapolis, MD 21401-8405 · Phone (667) 383-7546 · Fax (410) 263-5439
Location 1615225 Shady Grove Rd Ste 303Rockville, MD 20850-3259 · Phone (301) 216-2980 · Fax (301) 216-2982
Location 172002 Medical Pkwy Ste 630Annapolis, MD 21401-3059 · Phone (410) 224-2260 · Fax (410) 224-3090
Location 18231 Najoles Rd Ste 300Millersville, MD 21108-2670 · Phone (443) 351-3376 · Fax (443) 494-2303
Location 19180 Admiral Cochrane Dr Ste 430Annapolis, MD 21401-8405 · Phone (410) 339-0760 · Fax (410) 263-7482
Location 2054 Scott Adam Rd Ste 301Hunt Valley, MD 21030-3360 · Phone (410) 666-3960 · Fax (410) 666-3981
Location 21995 N Prince Frederick Blvd Ste 205Prince Frederick, MD 20678-5101 · Phone (443) 351-3376 · Fax (410) 535-6574
Location 22510 Upper Chesapeake Dr Pavilion III Ste 415Bel Air, MD 21014-4336 · Phone (410) 939-0961 · Fax (443) 787-4389
Location 231035 Champions Way Ste 100Suffolk, VA 23435-3762 · Phone (757) 967-0790 · Fax (757) 967-0793
Location 2412695 McManus Blvd Ste 4A-BNewport News, VA 23602-4435 · Phone (757) 369-0439 · Fax (757) 369-0513
Location 25810 Landmark Dr Ste 120-122Glen Burnie, MD 21061-4987 · Phone (443) 351-3376
Location 268401 Connecticut Ave Ste 210Chevy Chase, MD 20815-5837 · Phone (240) 482-2555 · Fax (240) 822-2556
Location 278505 Arlington Blvd Ste 200Fairfax, VA 22031-4630 · Phone (301) 564-3131 · Fax (301) 564-6391
Location 28930 Revolution StHavre DE Grace, MD 21078-3718 · Phone (410) 939-0961 · Fax (410) 939-7832
Location 297921 Jones Branch Dr Ste 320Mc Lean, VA 22102-3334 · Phone (703) 827-7008 · Fax (703) 827-7011
Location 30810 Gleneagles Ct Ste 204Towson, MD 21286-2236 · Phone (443) 351-3376 · Fax (410) 296-5463
Location 31810 Landmark Dr Ste 217-219Glen Burnie, MD 21061-4987 · Phone (410) 766-1324 · Fax (410) 766-4177
Location 3211510 Old Georgetown RdRockville, MD 20852-2736 · Phone (301) 881-4124 · Fax (301) 881-6505
Location 331185 Imperial Dr Ste 201Hagerstown, MD 21740-6673 · Phone (240) 707-3757 · Fax (301) 791-5234
Location 34115 Sallitt Drive EastStevensville, MD 21666-2156 · Phone (443) 351-3376 · Fax (410) 643-3797
Location 357101 Guilford Dr Ste 105Frederick, MD 21704-5198 · Phone (855) 314-1425 · Fax (301) 694-9481
Location 367501 Greenway Center Drive Fl 10 Ste 1000Greenbelt, MD 20770-3513 · Phone (301) 345-7375 · Fax (301) 345-7269
Location 377671 Quarterfield Rd Ste 200AGlen Burnie, MD 21061-4407 · Phone (443) 351-3376 · Fax (410) 582-9155
Location 387671 Quarterfield Rd Ste 200BGlen Burnie, MD 21061-4407 · Phone (443) 351-3376 · Fax (410) 582-9155
Location 39995 N Prince Frederick Blvd Ste 204Prince Frederick, MD 20678-5101 · Phone (443) 351-3376 · Fax (410) 535-6574
Location 401069 Centerbrooke LnSuffolk, VA 23434-8475 · Phone (757) 925-1860 · Fax (757) 925-1863
Location 4110700 Charter Dr Ste 300Columbia, MD 21044-3695 · Phone (667) 375-3376 · Fax (443) 249-7437
Location 4211351 Random Hills Rd Ste 200Fairfax, VA 22030-6081 · Phone (571) 234-6078 · Fax (667) 464-3376
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
CLIA Laboratory Certificates CMS CLIA 15
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 for Provider-Performed Microscopy Procedures (PPMP) 21D0685047
Anne Arundel Dermatology · Bethesda, MDCLIA Number21D0685047
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorMark J. Jaffe MD
Laboratory Phone(301) 530-4800
Laboratory LocationAnne Arundel Dermatology6410 Rockledge Dr Suite 402, Bethesda, MD 20817
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate of Compliance 21D0685344
Anne Arundel Dermatology PA · Glen Burnie, MDCLIA Number21D0685344
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorRichard G. Pfau MD
Laboratory Phone(410) 766-1324
Laboratory LocationAnne Arundel Dermatology PA810 Landmark Dr Ste 217-219, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Address 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.
Certificate of Compliance 21D0894223
Anne Arundel Dermatology · Havre De Grace, MDCLIA Number21D0894223
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorDavid F. Jaffe
Laboratory Phone(410) 939-0961
Laboratory LocationAnne Arundel Dermatology930 Revolution St, Havre De Grace, MD 21078
CLIA data matches this NPI record on: Address 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.
Certificate of Waiver 21D0224972
Anne Arundel Dermatology · Annapolis, MDCLIA Number21D0224972
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorDr. Alice He
Laboratory Phone(410) 224-2260
Laboratory LocationAnne Arundel Dermatology2002 Medical Parkway Ste 630, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0214251
Anne Arundel Dermatology · Hunt Valley, MDCLIA Number21D0214251
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorKaren Beasley MD
Laboratory Phone(410) 666-3960
Laboratory LocationAnne Arundel Dermatology54 Scott Adam Rd Suite 301, Hunt Valley, MD 21030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0894024
Anne Arundel Dermatology · Easton, MDCLIA Number21D0894024
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorPeter H. Niebyl
Laboratory Phone(410) 822-8223
Laboratory LocationAnne Arundel Dermatology4 Caulk Lane, Suite B, Easton, MD 21601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 LLC's NPI number?
The NPI number for Anne Arundel Dermatology LLC is 1063481703. It was assigned to this organization in the NPPES registry on March 15, 2006.
Where is Anne Arundel Dermatology LLC located?
Anne Arundel Dermatology LLC is located at 2002 Medical Pkwy Ste 630, Annapolis, MD 21401. The listed phone number is (410) 224-2260.
What is Anne Arundel Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Anne Arundel Dermatology LLC hold CLIA laboratory certificates?
Yes. 15 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Anne Arundel Dermatology LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Anne Arundel Dermatology Llc · NPI 1063481703
Dermatology organization in Annapolis, Maryland. Organization record, active in the CMS NPPES registry since March 15, 2006.
## Identity
- **NPI:** 1063481703 (Entity type: Organization)
- **Enumerated:** March 15, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Mark Welch, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 2002 MEDICAL PKWY STE 630, Annapolis, MD 21401-3059
- **Phone:** (410) 224-2260 · **Fax:** (410) 224-3090
## Record status
- **NPPES last updated:** April 29, 2026
- **CLIA laboratory certificates:** 15 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1063481703) · Data from the CMS NPPES public registry.