NPIMap

Organization Active NPI

Center for Dermatology and Dermatologic Surgery Management, LLC

Doing business as Center for Dermatology

  • Procedural Dermatology Physician
  • Annapolis, MD
National Provider Identifier
1508103011
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
CENTER FOR DERMATOLOGY AND DERMATOLOGIC SURGERY MANAGEMENT, LLC
Doing business as
Center for Dermatology and Dermatologic Surgery
Center for Dermatology and Dermatologic Surgery, The Professional Aesthetic Image Center P C
Practice address
167 Jennifer Rd Ste W
Annapolis, MD 21401-7910
Phone
(410) 224-1195
NPI assigned
Jan 4, 2013
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Cheryl Marie Burgess, MDNPI 1881756872
Title
Medical Director
Phone
(202) 955-5757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X NU Primary

Addresses

Primary practice location

167 Jennifer Rd Ste W
Annapolis, MD 21401-7910

Mailing address

2311 M St NW Ste 504
Suite
Washington, DC 20037-1495
Phone (202) 955-5757

Other names 3

  • Center for Dermatology Former legal business name
  • Center for Dermatology and Dermatologic Surgery Doing business as
  • Center for Dermatology and Dermatologic Surgery, The Professional Aesthetic Image Center P C Doing business as

National Provider Directory

National Provider Directory

Locations

167 Jennifer Rd
Ste W
Annapolis, MD 21401
Phone (410) 224-1195

Practitioners & affiliated clinicians

Practitioners 6

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": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1508103011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 M ST NW STE 504",
            "address_2": "SUITE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371495",
            "telephone_number": "202-955-5757",
            "fax_number": "202-955-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 JENNIFER RD STE W",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017910",
            "telephone_number": "410-224-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DERMATOLOGY AND DERMATOLOGIC SURGERY MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-955-5757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Dermatology and Dermatologic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Dermatology and Dermatologic Surgery, The Professional Aesthetic Image Center P C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Dermatology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.