ADVANCED DERMATOLOGY OF MARYLAND PC
NPI 1386479004
Dermatology in Fort Washington, MD

Active since September 03, 2024
11701 LIVINGSTON RD STE 302, FORT WASHINGTON, MD 20744(301) 292-6010 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dermatology Of Maryland Pc NPPES

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

ADVANCED DERMATOLOGY OF MARYLAND PC (NPI 1386479004) is a healthcare organization registered as a dermatology in Fort Washington, Maryland and active in the NPI registry since September 2024. The organization lists Matt Louis Leavitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1386479004
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF MARYLAND PC
Location Address11701 LIVINGSTON RD STE 302Fort Washington, MD 20744-5146
Mailing Address151 Southhall Ln Ste 300Maitland, FL 32751-7172 · (407) 875-2080
Organization SubpartYes
Authorized OfficialMatt Louis LeavittOwner · (407) 875-2080
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
NPI 1386479004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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
11701 LIVINGSTON RD STE 302, Fort Washington, MD 20744

Other Identifiers 1

Medicaid8025029MD

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

Other Providers at the Same Location NPPES 2

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

Physician Assistant
11701 LIVINGSTON RD STE 302
FORT WASHINGTON, MD 20744
Physician Assistant
11701 LIVINGSTON RD STE 302
FT WASHINGTON, MD 20744

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 Advanced Dermatology Of Maryland PC's NPI number?

The NPI number for Advanced Dermatology Of Maryland PC is 1386479004. It was assigned to this organization in the NPPES registry on September 3, 2024.

Where is Advanced Dermatology Of Maryland PC located?

Advanced Dermatology Of Maryland PC is located at 11701 Livingston Rd Ste 302, Fort Washington, MD 20744. The listed phone number is (301) 292-6010.

What is Advanced Dermatology Of Maryland PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Of Maryland PC was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.