Tamy B. Buckel, M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TAMY B. BUCKEL, M.D., P.A.

Doing business as

Shore Dermatology

Practice address

100 Bramble St Ste a
Cambridge, MD 21613-2471

Phone

(410) 778-0003

Fax

(410) 778-4450

NPI assigned

Jan 27, 2025

Last updated

Jan 28, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

TAMY B BUCKEL MD PAAs reported in NPPES

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

Authorized official

Name

Cheryl L Bish

Title

Office Manager

Phone

(410) 778-0003

Specialties & licenses 1

Addresses

Other names 1

• Shore Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tamy B. Buckel, M.D., P.a.

  dba Shore Dermatology

  • Dermatology Physician
  • Chestertown, MD
  • NPI 1588678585

  O20060821000139

  Same enrollment

Part of

Tamy B Buckel MD PA

Locations

Practitioners 3

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.

• Tamy B Buckel, M.D.

  • Dermatology Physician
  • Chestertown, MD
  • NPI 1467406553
  NPD
• Ann Marie Lawson, P.A.-C

  • Physician Assistant
  • Chestertown, MD
  • NPI 1184809998
  NPD
• Edgar F Peithman, P.A.

  • Physician Assistant
  • La Plata, MD
  • NPI 1396745691
  NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1558174417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HAACKE DR",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201193",
            "telephone_number": "410-778-0003",
            "fax_number": "410-778-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRAMBLE ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132471",
            "telephone_number": "410-778-0003",
            "fax_number": "410-778-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMY B. BUCKEL, M.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMY B BUCKEL MD PA",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BISH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-778-0003"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Stevanus, RD, LDN
• Marla Strappe, MA CCC-SLP
• Larissa Ann Street
• Devin Swann
• Annabelle B Talusan, MD
• Margot Tate, COTA
• Elizabeth Hope Taylor, CRNP
• Jeffrey L Taylor, D.D.S.
• Sharon Jull Taylor, PT
• Noman Thanwy, MD

• Dermatology Physician in Cambridge, MD
• Providers in Cambridge, 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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.