ANNAPOLIS DERMATOLOGY ASSOCIATES
NPI 1245355999
Physician Assistant - Medical in Annapolis, MD

Active since March 20, 2007
2002 MEDICAL PKWY, SUITE 630, ANNAPOLIS, MD 21401(410) 224-2260(410) 224-3090 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annapolis Dermatology Associates NPPES

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

ANNAPOLIS DERMATOLOGY ASSOCIATES (NPI 1245355999) is a healthcare organization registered as a medical in Annapolis, Maryland and active in the NPI registry since March 2007. The organization lists Lisa J Renfro, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1245355999
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameLISA RENFRO MD PA
Location Address2002 MEDICAL PKWY, SUITE 630Annapolis, MD 21401-3046
Mailing Address2002 Medical Pkwy, Suite 630Annapolis, MD 21401-3046 · (410) 224-2260 · Fax (410) 224-3090
Fax(410) 224-3090
Organization SubpartNo
Authorized OfficialLisa J RenfroOwner Physician · (410) 224-5700
Enumeration DateMarch 20, 2007
Last NPPES UpdateOctober 16, 2007
NPI 1245355999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C0002046
2002 MEDICAL PKWY, Annapolis, MD 21401

Other Names 1

Doing Business AsAnnapolis Dermatology Associates

Other Identifiers 8

Medicare UPINE91500
Other1780772707Npi
Medicare ID-Type Unspecified894LM112Pa
Medicare ID-Type Unspecified894LM113Pa
Other1568545515Npi
Medicare ID-Type Unspecified894L
Other1306820626Npi
Medicare PIN894L290EMD

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2002 MEDICAL PKWY, STE 170
ANNAPOLIS, MD 21401
Psychiatry & Neurology (Neurology)
2002 MEDICAL PKWY, SUITE 430
ANNAPOLIS, MD 21401
Radiology (Radiation Oncology)
2002 MEDICAL PKWY, SUITE 235
ANNAPOLIS, MD 21401
Internal Medicine (Cardiovascular Disease)
2002 MEDICAL PKWY, SUITE 310
ANNAPOLIS, MD 21401
Internal Medicine (Cardiovascular Disease)
2002 MEDICAL PKWY, STE 500
ANNAPOLIS, MD 21401
Psychologist
2002 MEDICAL PKWY, SUITE 430
ANNAPOLIS, MD 21401
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2002 MEDICAL PKWY, STE 660
ANNAPOLIS, MD 21401
Family Medicine
2002 MEDICAL PKWY, SUITE 670
ANNAPOLIS, MD 21401

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 Lisa Renfro MD PA's NPI number?

The NPI number for Lisa Renfro MD PA is 1245355999. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Annapolis Dermatology Associates.

Where is Lisa Renfro MD PA located?

Lisa Renfro MD PA is located at 2002 Medical Pkwy Suite 630, Annapolis, MD 21401. The listed phone number is (410) 224-2260.

What is Lisa Renfro MD PA's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lisa Renfro MD PA was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.