Organization Active NPI

Maragh Dermatology II LLC

  • Dermatology Physician
  • Rockville, MD
National Provider Identifier
1083026694
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101241757 Issued in VA
Legal business name
MARAGH DERMATOLOGY II LLC
Practice address
14995 Shady Grove Rd
Ste 150
Rockville, MD 20850-8726
Phone
(703) 858-0500
Fax
(703) 858-5155
NPI assigned
May 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Mrs. Sherry Lynette Henderson Maragh, MD
Title
Dr.
Phone
(703) 858-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 0101241757 VA Primary

Addresses

Primary practice location

14995 Shady Grove Rd
Ste 150
Rockville, MD 20850-8726

Mailing address

14995 Shady Grove Rd
Ste 150
Rockville, MD 20850-8726
Phone (703) 858-0500

National Provider Directory

National Provider Directory

Locations

14995 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (301) 358-5919

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": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1083026694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD",
            "address_2": "STE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508726",
            "telephone_number": "703-858-0500",
            "fax_number": "703-858-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD",
            "address_2": "STE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508726",
            "telephone_number": "703-858-0500",
            "fax_number": "703-858-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAGH DERMATOLOGY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "MARAGH",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNETTE HENDERSON",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "703-858-0500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101241757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.