Cosmedica PLLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

COSMEDICA PLLC

Practice address

1250 23Rd St NW Ste 410
Washington, DC 20037-1279

Phone

(202) 796-8886

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Sara Hogan, MDNPI 1295153997

Title

Owner

Phone

(202) 796-8886

Specialties & licenses 1

Addresses

Other names 1

• Cosmedica Dermatology Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Ruth Hogan, MD

  • Procedural Dermatology Physician
  • Washington, DC
  • NPI 1295153997

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1225865264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N ST NW STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 23RD ST NW STE 410",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371279",
            "telephone_number": "202-796-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMEDICA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-796-8886",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmedica Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie A Corwin, LGSW, LMSW
• Aundria Cosby, RN
• Jenarvis Cosby
• Russell Anthony Cosby
• Cosette Jamieson MD PLLC
• Emily L Costa, OTD
• Renzo Antonio Costa, MD
• Katherine Ellen Costantini Tenner, M.S., CF-SLP
• Regina Anne Costanzo, APA-C
• Costco Wholesale Corporation

• Procedural Dermatology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Procedural Dermatology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.