Eutopia Medical Dermatology and Aesthetics PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

EUTOPIA MEDICAL DERMATOLOGY AND AESTHETICS PLLC

Practice address

4211 Fairfax Corner Ave E Ste 225
Fairfax, VA 22030-8623

Phone

(703) 278-2473

Fax

(703) 239-4857

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Etsubdenk Mezemir Ajebo, MDNPI 1134788532

Title

Dermatologist

Phone

(703) 278-2473

Specialties & licenses 1

Addresses

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 1

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

• Etsubdenk Mezemir Ajebo, MD

  • Dermatology Physician
  • Fairfax, VA
  • NPI 1134788532

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1366262909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 FAIRFAX CORNER AVE E STE 225",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308623",
            "telephone_number": "703-278-2473",
            "fax_number": "703-239-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 FAIRFAX CORNER AVE E STE 225",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308623",
            "telephone_number": "703-278-2473",
            "fax_number": "703-239-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUTOPIA MEDICAL DERMATOLOGY AND AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "AJEBO",
        "authorized_official_first_name": "ETSUBDENK",
        "authorized_official_middle_name": "MEZEMIR",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "703-278-2473",
        "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": []
}

• Mary Ellen Zator Estes, NP
• Nixsaliz Estevez Campos, M.S. SLP
• Emily Elizabeth Estrada, MA CCC-SLP
• Susan A Etkind, PSYD, PHD
• Marc DH Eun, DMD
• Aimee Evans
• Ashleigh Evans
• Karen Evans
• Marsha Delois Evans, M.A., LPC
• Patricia Anne Evans, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.