NPIMap

Organization Active NPI

Maryland Skin Care Centers LLC

  • Physician Assistant
  • Elkton, MD
National Provider Identifier
1144183690
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
MARYLAND SKIN CARE CENTERS LLC
Practice address
216 E Pulaski Hwy Ste 125
Elkton, MD 21921-6498
Phone
(443) 485-6614
Fax
(410) 286-1700
NPI assigned
Dec 3, 2025
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Jagadeesh S V Kumar, MDNPI 1467486977
Title
Sole Memeber
Phone
(443) 485-6615

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
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

216 E Pulaski Hwy Ste 125
Elkton, MD 21921-6498

Mailing address

216 E Pulaski Hwy Ste 125
Elkton, MD 21921-6498
Phone (443) 485-6614

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1144183690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E PULASKI HWY STE 125",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216498",
            "telephone_number": "443-485-6614",
            "fax_number": "410-286-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E PULASKI HWY STE 125",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216498",
            "telephone_number": "443-485-6614",
            "fax_number": "410-286-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND SKIN CARE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "JAGADEESH",
        "authorized_official_middle_name": "S V",
        "authorized_official_title_or_position": "SOLE MEMEBER",
        "authorized_official_telephone_number": "443-485-6615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.