Derm-360 LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERM-360 LLC

Practice address

319 E Antietam St
Hagerstown, MD 21740-5701

Phone

(540) 560-3969

NPI assigned

Sep 11, 2024

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bharath Balu, PHD MDNPI 1194192872

Title

Physician

Phone

(540) 560-3969

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Bharath Balu, PHD MD

  • MOHS-Micrographic Surgery Physician
  • Chambersburg, PA
  • NPI 1194192872

  Dermatology

  NPD Authorized official

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1497581821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E ANTIETAM ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E ANTIETAM ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405701",
            "telephone_number": "540-560-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM-360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "BALU",
        "authorized_official_first_name": "BHARATH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-560-3969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Lynn Denham, CRNP-BC
• Katie Denning
• Patrick J Dennis, M.D.
• Dental Design Studio Inc
• Dental Professionals of Maryland, Badger, P.C. (Dentistry at Hagerstown)
• Desena Health Consulting LLC (Maryland Spine and Health Chiropractic Clinic)
• Brenda Ellen Desutter-Gue
• Melissa Detwiler, BSN, RN
• Katrina Devore, ATC
• Devoted Wellness and Counseling Services LLC

• Dermatology Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.