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ADVANCED DERMATOLOGY OF MARYLAND PC
NPI 1811722523
Dermatology in Annapolis, MD

Active since September 03, 2024CLIA 21D2133900 · Certificate of Compliance
200 HARRY S TRUMAN PKWY STE 400, ANNAPOLIS, MD 21401(410) 897-0272 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 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 1811722523) is a healthcare organization registered as a dermatology in Annapolis, Maryland and active in the NPI registry since September 2024. The organization holds a CLIA Certificate of Compliance certificate valid through July 1, 2027 and lists Matt Louis Leavitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1811722523
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF MARYLAND PC
Location Address200 HARRY S TRUMAN PKWY STE 400Annapolis, MD 21401-7397
Mailing Address151 Southhall Ln Ste 300Maitland, FL 32751-7172 · (407) 875-2080
Phone(410) 897-0272
Organization SubpartYes
Authorized OfficialMatt Louis LeavittOwner · (407) 875-2080
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1811722523 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
200 HARRY S TRUMAN PKWY STE 400, Annapolis, MD 21401
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 21D2133900

Advanced Dermatology Of Maryland · Annapolis, MD
Active · expires Jul 1, 2027
CLIA Number21D2133900
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorSherry L. Maragh
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Maryland200 Harry S Truman Parkway Ste 400, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

JASMINE HARRIS MD
Dermatology
200 HARRY S TRUMAN PKWY STE 400
ANNAPOLIS, MD 21401
Anne Arundel County (410) 897-0272

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 1811722523. 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 200 Harry S Truman Pkwy Ste 400, Annapolis, MD 21401. The listed phone number is (410) 897-0272.

What is Advanced Dermatology Of Maryland PC's specialty?

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

Does Advanced Dermatology Of Maryland PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D2133900) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Dermatology Of Maryland PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Advanced Dermatology Of Maryland PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.