VISAGE DERMATOLOGY AND AESTHETIC CENTER, LLC
NPI 1669716395
Dermatology in Largo, MD

Active since November 19, 2012
1400 MERCANTILE LN, SUITE 110, LARGO, MD 20774(240) 223-3533(240) 465-4800 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Visage Dermatology And Aesthetic Center, Llc NPPES

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

VISAGE DERMATOLOGY AND AESTHETIC CENTER, LLC (NPI 1669716395) is a healthcare organization registered as a dermatology in Largo, Maryland and active in the NPI registry since November 2012. The organization lists Sharleen St. Surin-lord, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1669716395
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameVISAGE DERMATOLOGY AND AESTHETIC CENTER, LLC
Location Address1400 MERCANTILE LN, SUITE 110Largo, MD 20774-5341
Mailing AddressPo Box 7224Largo, MD 20792-7224
Fax(240) 465-4800
Organization SubpartNo
Authorized OfficialSharleen St. Surin-lordMedical Director · (240) 223-3533
Enumeration DateNovember 19, 2012
Last NPPES UpdateDecember 20, 2012
NPI 1669716395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MD · D0065513
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.
1400 MERCANTILE LN, Largo, MD 20774

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.

Counselor (Professional)
1400 MERCANTILE LN, SUITE 208
LARGO, MD 20774
Social Worker (Clinical)
1400 MERCANTILE LN, SUITE 232
LARGO, MD 20774
Dermatology (Procedural Dermatology)
1400 MERCANTILE LN, SUITE 110
LARGO, MD 20774
Clinic/Center (Magnetic Resonance Imaging (MRI))
1400 MERCANTILE LN, #174
LARGO, MD 20774
Social Worker (Clinical)
1400 MERCANTILE LN, SUITE 260
LARGO, MD 20774
Occupational Therapist
1400 MERCANTILE LN, 240
LARGO, MD 20774
Day Training, Developmentally Disabled Services
1400 MERCANTILE LN, 212
LARGO, MD 20774
Social Worker (Clinical)
1400 MERCANTILE LN, 232
LARGO, MD 20774

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 Visage Dermatology And Aesthetic Center, LLC's NPI number?

The NPI number for Visage Dermatology And Aesthetic Center, LLC is 1669716395. It was assigned to this organization in the NPPES registry on November 19, 2012.

Where is Visage Dermatology And Aesthetic Center, LLC located?

Visage Dermatology And Aesthetic Center, LLC is located at 1400 Mercantile Ln Suite 110, Largo, MD 20774. The listed phone number is (240) 223-3533.

What is Visage Dermatology And Aesthetic Center, LLC'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 Visage Dermatology And Aesthetic Center, LLC was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.