Organization Active NPI

Anne Arundel Dermatology LLC

  • Dermatology Physician
  • Annapolis, MD
National Provider Identifier
1063481703
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ANNE ARUNDEL DERMATOLOGY LLC
Practice address
2002 Medical Pkwy Ste 630
Annapolis, MD 21401-3059
Phone
(410) 224-2260
Fax
(410) 224-3090
NPI assigned
Mar 15, 2006
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Mark L Welch, MDNPI 1619943644
Title
Chief Medical Officer
Phone
(240) 305-3765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary
MOHS-Micrographic Surgery Physician 207ND0101X NU
Dermatopathology Physician 207ND0900X NU
Dermatopathology (Pathology) Physician 207ZD0900X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU

Addresses

Primary practice location

2002 Medical Pkwy Ste 630
Annapolis, MD 21401-3059

Mailing address

PO Box 23329
New York, NY 10087-3329
Phone (410) 873-8500

Other practice location 1

8401 Connecticut Ave Ste 210
Chevy Chase, MD 20815-5837
Phone (240) 482-2555

Other practice location 2

5977 Exchange Dr Ste C-D
Sykesville, MD 21784-9265
Phone (443) 351-3376

Other practice location 3

5630 Lowery Rd
Norfolk, VA 23502-2233
Phone (757) 455-5009

Other practice location 4

6163 Executive Blvd
Rockville, MD 20852-3901
Phone (855) 314-1425

Other practice location 5

6410 Rockledge Dr Ste 402
Bethesda, MD 20817-7807
Phone (301) 530-4800

Other practice location 6

6410 Rockledge Dr Ste 300
Bethesda, MD 20817-7811
Phone (301) 564-3131

Other practice location 7

23503 Hollywood Rd Ste 102
Leonardtown, MD 20650-5925
Phone (443) 351-3376

Other practice location 8

2730 University Blvd W Ste 400
Silver Spring, MD 20902-1972
Phone (301) 933-0960

Other practice location 9

301 W Watersville Rd Ste 2
Mount Airy, MD 21771-5868
Phone (443) 351-3376

Other practice location 10

3430 Worthington Blvd Ste 205
Urbana, MD 21704-7019
Phone (301) 933-1547

Other practice location 11

4 Caulk Ln Ste B
Easton, MD 21601-3808
Phone (410) 822-8223

Other practice location 12

410 Meadow Creek Dr Ste 205
Westminster, MD 21158-9455
Phone (301) 829-4185

Other practice location 13

15225 Shady Grove Rd Ste 303
Rockville, MD 20850-3259
Phone (301) 216-2980

Other practice location 14

9948 N Main St Unit 1
Berlin, MD 21811-1076
Phone (410) 921-3376

Other practice location 15

180 Admiral Cochrane Dr Ste 410
Annapolis, MD 21401-8405
Phone (667) 383-7546

Other practice location 16

180 Admiral Cochrane Dr Ste 420
Annapolis, MD 21401-8405
Phone (667) 383-7546

Other practice location 17

2002 Medical Pkwy Ste 630
Annapolis, MD 21401-3059
Phone (410) 224-2260

Other practice location 18

231 Najoles Rd Ste 300
Millersville, MD 21108-2670
Phone (443) 351-3376

Other practice location 19

180 Admiral Cochrane Dr Ste 430
Annapolis, MD 21401-8405
Phone (410) 339-0760

Other practice location 20

54 Scott Adam Rd Ste 301
Hunt Valley, MD 21030-3360
Phone (410) 666-3960

Other practice location 21

995 N Prince Frederick Blvd Ste 205
Prince Frederick, MD 20678-5101
Phone (443) 351-3376

Other practice location 22

510 Upper Chesapeake Dr Pavilion III Ste 415
Bel Air, MD 21014-4336
Phone (410) 939-0961

Other practice location 23

1035 Champions Way Ste 100
Suffolk, VA 23435-3762
Phone (757) 967-0790

Other practice location 24

125 Market St
Virginia Beach, VA 23462-6794
Phone (757) 437-8900

Other practice location 25

12695 McManus Blvd Ste 4A-B
Newport News, VA 23602-4435
Phone (757) 369-0439

Other practice location 26

810 Landmark Dr Ste 120-122
Glen Burnie, MD 21061-4987
Phone (443) 351-3376

Other practice location 27

8505 Arlington Blvd Ste 200
Fairfax, VA 22031-4630
Phone (301) 564-3131

Other practice location 28

930 Revolution St
Havre DE Grace, MD 21078-3718
Phone (410) 939-0961

Other practice location 29

11510 Old Georgetown Rd
Rockville, MD 20852-2736
Phone (301) 881-4124

Other practice location 30

7921 Jones Branch Dr Ste 320
Mc Lean, VA 22102-3334
Phone (703) 827-7008

Other practice location 31

810 Gleneagles Ct Ste 204
Towson, MD 21286-2236
Phone (443) 351-3376

Other practice location 32

810 Landmark Dr Ste 217-219
Glen Burnie, MD 21061-4987
Phone (410) 766-1324

Other practice location 33

1185 Imperial Dr Ste 201
Hagerstown, MD 21740-6673
Phone (240) 707-3757

Other practice location 34

115 Sallitt Drive East
Stevensville, MD 21666-2156
Phone (443) 351-3376

Other practice location 35

7101 Guilford Dr Ste 105
Frederick, MD 21704-5198
Phone (855) 314-1425

Other practice location 36

7501 Greenway Center Drive Fl 10 Ste 1000
Greenbelt, MD 20770-3513
Phone (301) 345-7375

Other practice location 37

7671 Quarterfield Rd Ste 200A
Glen Burnie, MD 21061-4407
Phone (443) 351-3376

Other practice location 38

7671 Quarterfield Rd Ste 200B
Glen Burnie, MD 21061-4407
Phone (443) 351-3376

Other practice location 39

11351 Random Hills Rd Ste 200
Fairfax, VA 22030-6081
Phone (571) 234-6078

Other practice location 40

995 N Prince Frederick Blvd Ste 204
Prince Frederick, MD 20678-5101
Phone (443) 351-3376

Other practice location 41

1069 Centerbrooke Ln
Suffolk, VA 23434-8475
Phone (757) 925-1860

Other practice location 42

10700 Charter Dr Ste 300
Columbia, MD 21044-3695
Phone (667) 375-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040217000376 MD Part B Supplier - Clinic/Group Practice 6608761960 Receives reassigned benefits from 114 practitioners
Practice locations: Havre de Grace, MD; Hunt Valley, MD; Leonardtown, MD; Millersville, MD; Mount Airy, MD; Prince Frederick, MD; Stevensville, MD; Sykesville, MD…
O20160518000421 DC Part B Supplier - Clinic/Group Practice 6608761960 Receives reassigned benefits from 90 practitioners
Practice locations: Greenbelt, MD; Silver Spring, MD; Rockville, MD; MC Lean, VA; Fairfax, VA; Chevy Chase, MD; Bethesda, MD
O20180525000348 VA Part B Supplier - Clinic/Group Practice 6608761960 Receives reassigned benefits from 20 practitioners
Practice locations: Virginia Beach, VA; Suffolk, VA; Norfolk, VA; Newport News, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2098601Anne Arundel Dermatology Kent Island115 Sallitt Drive Suite E, Stevensville, MD 21666Provider-performed microscopyJul 9, 2027

National Provider Directory

National Provider Directory

Locations (25 of 32)

180 Admiral Cochrane Dr
Ste 420
Annapolis, MD 21401
Phone (410) 263-5439

9948 N Main St
Ste 1
Berlin, MD 21811

9948 N Main St
Unit 1
Berlin, MD 21811
Phone (410) 921-3376

6410 Rockledge Dr
Ste 402
Bethesda, MD 20817
Phone (301) 530-4800

10700 Charter Dr
Ste 300
Columbia, MD 21044
Phone (410) 730-0970

7101 Guilford Dr
Ste 105
Frederick, MD 21704
Phone (301) 631-5910

7671 Quarterfield Rd
Ste 200
Glen Burnie, MD 21061
Phone (410) 766-0111

7671 Quarterfield Rd
Ste 200A
Glen Burnie, MD 21061

7671 Quarterfield Rd
Ste 200B
Glen Burnie, MD 21061

810 Landmark Dr
Ste 120122
Glen Burnie, MD 21061

1185 Imperial Dr
Ste 201
Hagerstown, MD 21740
Phone (443) 351-8376

302 Watersville Rd
Ste 2
Mount Airy, MD 21771
Phone (443) 351-3365

11032 Nicholas Ln
Ste A101
Ocean Pines, MD 21811

8028 Ritchie Hwy
Ste 106
Pasadena, MD 21122
Phone (410) 761-0118

8028 Ritchie Hwy
Ste 110112
Pasadena, MD 21122
Phone (410) 766-0111

995 Prince Frederick Blvd
Ste 204
Prince Frederick, MD 20678
Phone (410) 535-5855

995 Prince Frederick Blvd
Ste 205
Prince Frederick, MD 20678

105 Pine Bluff Rd
Ste 4
Salisbury, MD 21801
Phone (410) 543-2362

200 Saint Claire Pl
Ste 150
Stevensville, MD 21666
Phone (410) 643-3795

202 Saint Claire Pl
Ste 100
Stevensville, MD 21666

410 Meadow Creek Dr
Ste 205
Westminster, MD 21158
Phone (301) 829-4185

1900 N Beauregard St
Alexandria, VA 22311
Phone (301) 564-3131

11351 Random Hills Rd
Ste 200
Fairfax, VA 22030
Phone (571) 234-6078

7921 Jones Branch Dr
Ste 320
McLean, VA 22102
Phone (703) 448-6010

12695 McManus Blvd
Bldg 4A
Newport News, VA 23602
Phone (757) 369-0439

Practitioners & affiliated clinicians

Practitioners 152

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 152

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1063481703",
    "addresses": [
        {
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            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329",
            "telephone_number": "410-873-8500",
            "fax_number": "404-301-9057"
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            "fax_number": "410-224-3090"
        }
    ],
    "practiceLocations": [
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            "address_1": "8401 Connecticut Ave Ste 210",
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            "telephone_number": "240-482-2555",
            "fax_number": "240-822-2556",
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        },
        {
            "address_1": "5977 Exchange Dr Ste C-D",
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            "city": "Sykesville",
            "state": "MD",
            "postal_code": "217849265",
            "country_code": "US",
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            "postal_code": "235022233",
            "country_code": "US",
            "telephone_number": "757-455-5009",
            "fax_number": "757-362-3577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6163 Executive Blvd",
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            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523901",
            "country_code": "US",
            "telephone_number": "855-314-1425",
            "fax_number": "301-984-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Rockledge Dr Ste 402",
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            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208177807",
            "country_code": "US",
            "telephone_number": "301-530-4800",
            "fax_number": "301-531-1847",
            "country_name": "United States",
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        },
        {
            "address_1": "6410 Rockledge Dr Ste 300",
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            "state": "MD",
            "postal_code": "208177811",
            "country_code": "US",
            "telephone_number": "301-564-3131",
            "fax_number": "301-564-6391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23503 Hollywood Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "206505925",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "301-475-1881",
            "country_name": "United States",
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        {
            "address_1": "2730 University Blvd W Ste 400",
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            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209021972",
            "country_code": "US",
            "telephone_number": "301-933-0960",
            "fax_number": "301-933-1547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 W Watersville Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715868",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "301-829-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Worthington Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "MD",
            "postal_code": "217047019",
            "country_code": "US",
            "telephone_number": "301-933-1547",
            "fax_number": "301-732-4878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Caulk Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216013808",
            "country_code": "US",
            "telephone_number": "410-822-8223",
            "fax_number": "410-822-1423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Meadow Creek Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211589455",
            "country_code": "US",
            "telephone_number": "301-829-4185",
            "fax_number": "301-829-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15225 Shady Grove Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503259",
            "country_code": "US",
            "telephone_number": "301-216-2980",
            "fax_number": "301-216-2982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9948 N Main St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111076",
            "country_code": "US",
            "telephone_number": "410-921-3376",
            "fax_number": "443-736-1945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Admiral Cochrane Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018405",
            "country_code": "US",
            "telephone_number": "667-383-7546",
            "fax_number": "410-263-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Admiral Cochrane Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018405",
            "country_code": "US",
            "telephone_number": "667-383-7546",
            "fax_number": "410-263-5439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 Medical Pkwy Ste 630",
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            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013059",
            "country_code": "US",
            "telephone_number": "410-224-2260",
            "fax_number": "410-224-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 Najoles Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "MD",
            "postal_code": "211082670",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "443-494-2303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Admiral Cochrane Dr Ste 430",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018405",
            "country_code": "US",
            "telephone_number": "410-339-0760",
            "fax_number": "410-263-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 Scott Adam Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Hunt Valley",
            "state": "MD",
            "postal_code": "210303360",
            "country_code": "US",
            "telephone_number": "410-666-3960",
            "fax_number": "410-666-3981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "995 N Prince Frederick Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206785101",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "410-535-6574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Upper Chesapeake Dr Pavilion III Ste 415",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144336",
            "country_code": "US",
            "telephone_number": "410-939-0961",
            "fax_number": "443-787-4389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Champions Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353762",
            "country_code": "US",
            "telephone_number": "757-967-0790",
            "fax_number": "757-967-0793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Market St",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234626794",
            "country_code": "US",
            "telephone_number": "757-437-8900",
            "fax_number": "757-437-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12695 McManus Blvd Ste 4A-B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024435",
            "country_code": "US",
            "telephone_number": "757-369-0439",
            "fax_number": "757-369-0513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Landmark Dr Ste 120-122",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614987",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8505 Arlington Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314630",
            "country_code": "US",
            "telephone_number": "301-564-3131",
            "fax_number": "301-564-6391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 Revolution St",
            "address_purpose": "LOCATION",
            "city": "Havre DE Grace",
            "state": "MD",
            "postal_code": "210783718",
            "country_code": "US",
            "telephone_number": "410-939-0961",
            "fax_number": "410-939-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11510 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522736",
            "country_code": "US",
            "telephone_number": "301-881-4124",
            "fax_number": "301-881-6505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7921 Jones Branch Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221023334",
            "country_code": "US",
            "telephone_number": "703-827-7008",
            "fax_number": "703-827-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Gleneagles Ct Ste 204",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212862236",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "410-296-5463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Landmark Dr Ste 217-219",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614987",
            "country_code": "US",
            "telephone_number": "410-766-1324",
            "fax_number": "410-766-4177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1185 Imperial Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406673",
            "country_code": "US",
            "telephone_number": "240-707-3757",
            "fax_number": "301-791-5234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Sallitt Drive East",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MD",
            "postal_code": "216662156",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "410-643-3797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 Guilford Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217045198",
            "country_code": "US",
            "telephone_number": "855-314-1425",
            "fax_number": "301-694-9481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7501 Greenway Center Drive Fl 10 Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703513",
            "country_code": "US",
            "telephone_number": "301-345-7375",
            "fax_number": "301-345-7269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7671 Quarterfield Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614407",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "410-582-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7671 Quarterfield Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614407",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "410-582-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11351 Random Hills Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220306081",
            "country_code": "US",
            "telephone_number": "571-234-6078",
            "fax_number": "667-464-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "995 N Prince Frederick Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206785101",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "410-535-6574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1069 Centerbrooke Ln",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348475",
            "country_code": "US",
            "telephone_number": "757-925-1860",
            "fax_number": "757-925-1863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 Charter Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443695",
            "country_code": "US",
            "telephone_number": "667-375-3376",
            "fax_number": "443-249-7437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANNE ARUNDEL DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "240-305-3765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.