Calvert Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D61859 Issued in MD

Legal business name

CALVERT DERMATOLOGY, LLC

Practice address

125 Stoakley Road
Suite 300
Prince Frederick, MD 20678

Phone

(410) 535-4561

Fax

(410) 535-9941

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Faris HawitNPI 1346380896

Title

Resident Member

Phone

(202) 253-4401

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

Practitioners 3

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

• Faris Hawit, M.D.

  • Dermatology Physician
  • Prince Frederick, MD
  • NPI 1346380896
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Scaggs, CRNP

  • Dermatology Physician
  • Prince Frederick, MD
  • NPI 1366900235
  Medicare reassignment Care Compare group NPD
• Heather Jean Montgomery, C.R.N.P

  • Family Medicine Physician
  • Prince Frederick, MD
  • NPI 1427059559
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1295875763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1540",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206781540",
            "telephone_number": "410-535-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 STOAKLEY ROAD",
            "address_2": "SUITE 300",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-4561",
            "fax_number": "410-535-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "HAWIT",
        "authorized_official_first_name": "FARIS",
        "authorized_official_title_or_position": "RESIDENT MEMBER",
        "authorized_official_telephone_number": "202-253-4401",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D61859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412713700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvert County Nursing Center Inc
• Calvert County Public School
• Calvert County Public Schools
• Calvert Dental LLC
• Calvert Dentistry Moy P.a.
• Calvert Digestive Disease Associates, Endoscopy and Surgery Center LLC
• Calvert Ear Nose & Throat Associates Inc
• Calvert Family Practice Associates, P.a.
• Calvert Health Ventures Inc
• Calvert Hospice, Inc

• Dermatology Physician in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.