ANNE ARUNDEL DERMATOLOGY, P.A.
NPI 1407686199
Specialist in Easton, MD

NPI Status: Active since August 06, 2024

Contact Information

4 CAULK LN STE B
EASTON, MD
ZIP 21601
Phone: (410) 822-8223
Fax: (410) 822-1423

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  • Organization
  • Specialist
  • CLIA Number: 21D0894024
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-03-2026

About ANNE ARUNDEL DERMATOLOGY, P.A.

This page provides the complete NPI Profile along with additional information for Anne Arundel Dermatology, P.a., a provider established in Easton, Maryland operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1407686199 assigned on August 2024. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Angela Ruth Peterman (Md)

NPI
1407686199
Provider Name
ANNE ARUNDEL DERMATOLOGY, P.A.
Entity Type
Organization
Location Address
4 CAULK LN STE B EASTON, MD 21601
Location Phone
(410) 822-8223
Location Fax
(410) 822-1423
Mailing Address
1306 CONCOURSE DR STE 201 LINTHICUM HEIGHTS, MD 21090
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-06-2024
Last Update Date
08-07-2024
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELA RUTH PETERMAN

Authorized Official Title
MD
Authorized Official Phone
(443) 351-3376

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
21D0894024
Facility Type
Physician Office
Certificate Effective Date
November 04, 2024
Certificate Expiration Date
November 03, 2026
Laboratory Director
PETER H. NIEBYL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Anne Arundel Dermatology, P.a. 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 1407686199, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 2 + 8 + 1 + 2 + 1 + 1 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1407686199.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
4 CAULK LN STE B
EASTON, MD 21601
Nurse Practitioner (Family)
4 CAULK LN STE B
EASTON, MD 21601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407686199, enumerated as an "organization" on August 06, 2024.

The provider is located at 4 CAULK LN STE B EASTON, MD 21601 and the phone number is (410) 822-8223.

Specialist with taxonomy code 174400000X.