NPIMap

Organization Active NPI

University Dermatology Associates PLLC

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1447313580
Registry record updated Nov 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
UNIVERSITY DERMATOLOGY ASSOCIATES PLLC
Practice address
1120 19TH St NW
Suite 250
Washington, DC 20036
Phone
(202) 955-6995
Fax
(202) 955-3915
NPI assigned
Dec 19, 2006
Last updated
Nov 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2007

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

Authorized official

Name
M Carol McNeely, MD PHD
Title
Managing Partner
Phone
(202) 955-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

1120 19TH St NW
Suite 250
Washington, DC 20036

Mailing address

PO Box 1917
Waldorf, MD 20604-1917
Phone (202) 955-6995

National Provider Directory

National Provider Directory

Locations

1120 19th St NW
Ste 250
Washington, DC 20036
Phone (202) 352-6563

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194134400000",
    "number": "1447313580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1917",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206041917",
            "telephone_number": "202-955-6995",
            "fax_number": "202-955-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 19TH ST NW",
            "address_2": "SUITE 250",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20036",
            "telephone_number": "202-955-6995",
            "fax_number": "202-955-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DERMATOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-11-04",
        "status": "A",
        "authorized_official_last_name": "MCNEELY",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "202-955-6995",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.