Westminster Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WESTMINSTER DERMATOLOGY, LLC

Practice address

532 Baltimore Blvd Ste 211
Westminster, MD 21157-6117

Phone

(410) 751-3840

NPI assigned

Apr 15, 2014

Last updated

Jan 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey D Queen, MANAGER

Title

Manager

Phone

(561) 314-2000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 6

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.

• Kathryn Neuman Rudo

  • Dermatology Physician
  • Reisterstown, MD
  • NPI 1700981701
  Medicare reassignment Care Compare group NPD
• Maren Shaw, M.D.

  • Dermatology Physician
  • Washington, DC
  • NPI 1205039922

  MD

  Medicare reassignment Care Compare group NPD
• Brooke Ann Bering, PA

  • Physician Assistant
  • Westminster, MD
  • NPI 1346555315
  Medicare reassignment Care Compare group
• Rebecca W Bower, PA-C

  • Medical Physician Assistant
  • Westminster, MD
  • NPI 1053372300
  Medicare reassignment Care Compare group
• Katherine L Bowes, PA-C

  • Physician Assistant
  • Westminster, MD
  • NPI 1508082181
  Medicare reassignment Care Compare group
• Brenda Shell, P.A.-C.

  • Physician Assistant
  • Westminster, MD
  • NPI 1588744783
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1144649492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 BALTIMORE BLVD STE 211",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576117",
            "telephone_number": "410-751-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Weltman
• Ashley Wensil, PHARMD
• Marian West
• Westminster Active Day Center
• Westminster Dental
• Westminster Dermatology, LLC
• Westminster Family Dentistry, LLC.
• Westminster Family Vision Center, Inc.
• Westminster Fire Engine & Hose Co. No. 1, Inc
• Westminster Internal Medicine Association

• Dermatology Physician in Westminster, MD
• Providers in Westminster, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.