Anne Arundel Dermatology, PA
NPI 1649099102ActiveOrganization· Dermatology· Fairfax, VA
Dermatology in Fairfax, Virginia, registered in NPPES in October 2024, part of Anne Arundel Dermatology, PA. The authorized official on file is Angela Ruth Peterman, Md.
Overview
| NPI | 1649099102 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Anne Arundel Dermatology, PA |
| NPI issued | Oct 10, 2024 |
| Last updated in NPPES | Oct 10, 2024 |
| Certified by provider | Oct 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Specialist | 174400000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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