Envision Dermatology Holdings Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ENVISION DERMATOLOGY HOLDINGS INC

Practice address

116 Defense Hwy Ste 102
Annapolis, MD 21401-7040

Phone

(888) 820-3376

Fax

(888) 826-4576

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Erin Brimhall, ARNP

Title

President

Phone

(888) 820-3376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1538718622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017040",
            "telephone_number": "888-820-3376",
            "fax_number": "888-826-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017040",
            "telephone_number": "888-820-3376",
            "fax_number": "888-826-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION DERMATOLOGY HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "BRIMHALL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-820-3376",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim S. Endres, PA-C
• Patrick Owen Engle
• Joseph Donald English, ATC, CSCS
• Kimberly English, PH.D.
• Valerie English
• Michael Samuel Epstein, M.D.
• Noah Max Epstein
• Amanda M Era, CRNP
• Ergonomically Correct LLC
• Erin Connolly-Igoe, LLC

• Dermatology Physician in Annapolis, MD
• Providers in Annapolis, 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 10, 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.