ANNE ARUNDEL DERMATOLOGY, PA – NPI #1982549895
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

ANNE ARUNDEL DERMATOLOGY, PA is a dermatologist located in GLEN BURNIE, MD. NPPES recently assigned the NPI number 1982549895 to ANNE ARUNDEL DERMATOLOGY, PA on April 20, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANNE ARUNDEL DERMATOLOGY, PA below.

NPI Profile for
ANNE ARUNDEL DERMATOLOGY, PA

NPI Number
1982549895
Enumeration Date

(about 6 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANNE ARUNDEL DERMATOLOGY, PA
Primary location
810 LANDMARK DR STE 120-122
GLEN BURNIE, MD 21061-4987
Phone: (443) 351-3376 Fax: (410) 766-4177
Mailing address
PO BOX 23329
NEW YORK, NY 10087-3329
Phone: Fax:
Organization Subpart
Yes - ANNE ARUNDEL DERMATOLOGY, PA is subpart of another organization.
Authorized Official
NICOLE PROFFITT
DIR OF CREDENTIALING ENROLLMENT
Phone: (804) 869-6269
Updated
Certification Date
Apr 20, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.