Rock Creek Dermatology and Skin Cancer Center, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D77401 Issued in MD

Legal business name

ROCK CREEK DERMATOLOGY AND SKIN CANCER CENTER, LLC

Practice address

3925 Ferrara Dr
Silver Spring, MD 20906-4709

Phone

(301) 933-1547

Fax

(301) 933-0960

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Meghan W Mitchell, MD

Title

Owner/Physician

Phone

(301) 933-1547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1477901924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 FERRARA DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064709",
            "telephone_number": "301-933-1547",
            "fax_number": "301-933-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 FERRARA DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064709",
            "telephone_number": "301-933-1547",
            "fax_number": "301-933-0960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Worthington Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217047019",
            "country_code": "US",
            "telephone_number": "301-933-1547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCK CREEK DERMATOLOGY AND SKIN CANCER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "301-933-1547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D77401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole T Rochester, M.D.
• Rock Creek Foundation
• Rock Creek Foundation
• Rock Creek Foundation for Mental Health Inc
• Rock Creek Foundation for Mental Health Inc
• Rock of Ages, Inc

• Dermatology Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.