Dockside Dermatology LLC
NPI 1194479972ActiveOrganization· Dermatology· Millersville, MD
Dermatology in Millersville, Maryland, registered in NPPES in February 2022. The authorized official on file is Lesley Sutherland, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194479972 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2022 |
| Last updated in NPPES | Mar 26, 2023 |
| Certified by provider | Dec 6, 2022 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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