Arlington Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ARLINGTON DERMATOLOGY, PLLC

Doing business as

Arlington Dermatology PLLC

Practice address

801 N Quincy St Ste 210
Arlington, VA 22203-1999

Phone

(301) 908-8609

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Ross Livingood, MDNPI 1770926255

Title

Owner/Dermatologist

Phone

(301) 908-8609

Specialties & licenses 1

Addresses

Other names 1

• Arlington Dermatology PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

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 5

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

• Matthew Ross Livingood, M.D.

  • Dermatology Physician
  • Arlington, VA
  • NPI 1770926255

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Ellinor Quay Coyne, M.D.

  • Dermatology Physician
  • Arlington, VA
  • NPI 1750726766

  DC

  Medicare reassignment Care Compare group NPD
• Katherine Mahdavi, PA-C

  • Physician Assistant
  • Annapolis, MD
  • NPI 1972379758

  DC

  Medicare reassignment Care Compare group NPD
• Saman Shahid, PA

  • Medical Physician Assistant
  • Arlington, VA
  • NPI 1902484298

  DC

  Medicare reassignment Care Compare group
• Ryan Wood, PA-C

  • Physician Assistant
  • Flagstaff, AZ
  • NPI 1831941780

  DC

  Medicare reassignment

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1346839388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 25TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073953",
            "telephone_number": "301-908-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N QUINCY ST STE 210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031999",
            "telephone_number": "301-908-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "LIVINGOOD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER/DERMATOLOGIST",
        "authorized_official_telephone_number": "301-908-8609",
        "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": [],
    "other_names": [
        {
            "organization_name": "Arlington Dermatology PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arlington County Government Department of Managment & Finance (ACFD Physician Group)
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• Arlington Eye Center
• Arlington Free Clinic

• Dermatology Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.