NPIMap

Organization Active NPI

Photodermatology Associates LLC

  • Dermatology Physician
  • Lutherville, MD
National Provider Identifier
1053630574
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D26335 Issued in MD
Legal business name
PHOTODERMATOLOGY ASSOCIATES LLC
Practice address
10753 Falls Rd
S355
Lutherville, MD 21093-4535
Phone
(410) 847-3700
Fax
(410) 847-3703
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Warwick L Morison, M.D.
Title
Owner
Phone
(410) 847-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X D26335 MD Primary

Addresses

Primary practice location

10753 Falls Rd
S355
Lutherville, MD 21093-4535

Mailing address

10753 Falls Rd
S355
Lutherville, MD 21093-4535
Phone (410) 847-3700

National Provider Directory

National Provider Directory

Locations

10753 Falls Rd
#S355
Lutherville, MD 21093
Phone (410) 847-3700

10753 Falls Rd
Ste 355
Lutherville Timonium, MD 21093
Phone (410) 847-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1053630574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "S355",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-847-3700",
            "fax_number": "410-847-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "S355",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-847-3700",
            "fax_number": "410-847-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOTODERMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "MORISON",
        "authorized_official_first_name": "WARWICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-847-3700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D26335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.