Sharleen St.Surin-Lord, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

MD036556 Issued in DC

Practice address

1400 Mercantile LN
Suite 110
Largo, MD 20774-5341

Phone

(301) 773-7546

NPI assigned

Mar 4, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Sharleen St-Surin Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Howard University College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Maryland PCGroup PAC ID 9931489804, 43 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • Rockville, MD
  • NPI 1760856413

  DC

  Medicare reassignment Care Compare group NPD
• Howard University

  dba Faculty Practice Plan Howard University

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1033163597
  Medicare reassignment NPD
• Visage Dermatology and Aesthetic Center, LLC

  • Dermatology Physician
  • Largo, MD
  • NPI 1669716395
  NPD Authorized official
• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • Fort Washington, MD
  • NPI 1386479004
  NPD
• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • Olney, MD
  • NPI 1841025558
  NPD
• Nova Medical and Urgent Care Center, Inc.

  dba Nova Medical Group, Nova Urgent Care

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1588683742
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1023288156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "SUITE 110",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "202-321-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "SUITE 110",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "301-773-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Ave NW # 4300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200605341",
            "country_code": "US",
            "telephone_number": "202-865-6725",
            "fax_number": "202-865-1757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11701 Livingston Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ft Washington",
            "state": "MD",
            "postal_code": "207445146",
            "country_code": "US",
            "telephone_number": "301-292-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 Waterfront St Ste 200",
            "address_purpose": "LOCATION",
            "city": "National Harbor",
            "state": "MD",
            "postal_code": "207451164",
            "country_code": "US",
            "telephone_number": "240-493-8447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST.SURIN-LORD",
        "first_name": "SHARLEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "D0065513",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "DC",
            "license": "MD036556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2041 Georgia Ave NW # 4300",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200605341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHARLEEN",
            "last_name": "ST-SURIN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica M Sollars, LCPC
• Riddhi Soni, MD
• Sonja Williams and Associates, LLC
• Specialized Education of MD, Inc. (High Road School)
• Speechquest
• Charmaine Nicole Stanley
• Sabra Donna Starnes, MSW, LISW, LCSW-C
• Melissa Stephenson, MHS-C, LCPC, LPC
• Gwenlou Arlise Stevens, HEALTH TECHNICIAN
• Valerie May Stevens, CRNP

• Procedural Dermatology Physician in Largo, MD
• Providers in Largo, MD by specialty
• Procedural Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.