NPIMap

Organization Active NPI

Current Dermatology and Cosmetic Center LLC

  • Dermatology Physician
  • Annapolis, MD
National Provider Identifier
1104584333
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CURRENT DERMATOLOGY AND COSMETIC CENTER LLC
Practice address
810 Bestgate Rd Ste 450
Annapolis, MD 21401-3648
Phone
(410) 384-3045
Fax
(410) 384-3044
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Dr. Mary Elizabeth Walterhoefer, MDNPI 1831586718
Title
Owner
Phone
(443) 286-8831

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 1

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

Addresses

Primary practice location

810 Bestgate Rd Ste 450
Annapolis, MD 21401-3648

Mailing address

309 Tucker St
Annapolis, MD 21401-1340
Phone (443) 286-8831

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mwalterhoefer@currentderm.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220216001164 MD Part B Supplier - Clinic/Group Practice 2466845466 Receives reassigned benefits from 4 practitioners
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

810 Bestgate Rd
Ste 450
Annapolis, MD 21401
Phone (410) 384-3045

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00062

Practitioners & affiliated clinicians

Practitioners 4

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": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1104584333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TUCKER ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011340",
            "telephone_number": "443-286-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 450",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013648",
            "telephone_number": "410-384-3045",
            "fax_number": "410-384-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRENT DERMATOLOGY AND COSMETIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "WALTERHOEFER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-286-8831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mwalterhoefer@currentderm.com",
            "affiliation": "N",
            "address_1": "810 Bestgate Rd Ste 450",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214013648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.