Anne Arundel Dermatology Affiliates PC
NPI 1083200794ActiveOrganization· Dermatology· Hunt Valley, MD
Dermatology in Hunt Valley, Maryland, registered in NPPES in December 2020, part of Anne Arundel Dermatology, P.A. The authorized official on file is Angela Ruth Peterman, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083200794 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Anne Arundel Dermatology, P.A. |
| NPI issued | Dec 16, 2020 |
| Last updated in NPPES | Apr 23, 2024 |
| Certified by provider | Apr 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
| Pathology, Dermatopathology | 207ZD0900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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