ANNE ARUNDEL DERMATOLOGY, PA
NPI 1477372936
Dermatology in Fairfax, VA

Active since October 10, 2024
11351 RANDOM HILLS RD STE 200, FAIRFAX, VA 22030(443) 351-3376 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anne Arundel Dermatology, Pa NPPES

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

ANNE ARUNDEL DERMATOLOGY, PA (NPI 1477372936) is a healthcare organization registered as a dermatology in Fairfax, Virginia and active in the NPI registry since October 2024. The organization lists Angela Ruth Peterman, Md, as its authorized official.

NPPES Registry Identity

NPI1477372936
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANNE ARUNDEL DERMATOLOGY, PA
Location Address11351 RANDOM HILLS RD STE 200Fairfax, VA 22030-6081
Mailing Address1306 Concourse Dr Ste 201Linthicum Heights, MD 21090-1033
Organization SubpartYes
Authorized OfficialAngela Ruth PetermanMd · (443) 351-3376
Enumeration DateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
NPI 1477372936 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 ListedSpecialistTaxonomy 174400000X
11351 RANDOM HILLS RD STE 200, Fairfax, VA 22030

Other Names 1

Other NameAnne Arundel Dermatology, Pa

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.

Dermatology
11351 RANDOM HILLS RD STE 200
FAIRFAX, VA 22030
Physician Assistant
11351 RANDOM HILLS RD STE 200
FAIRFAX, VA 22030

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, PA's NPI number?

The NPI number for Anne Arundel Dermatology, PA is 1477372936. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Anne Arundel Dermatology, PA located?

Anne Arundel Dermatology, PA is located at 11351 Random Hills Rd Ste 200, Fairfax, VA 22030. The listed phone number is (443) 351-3376.

What is Anne Arundel Dermatology, PA'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 Anne Arundel Dermatology, PA was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.