NPIMap

Organization Active NPI

Maragh Dermatology, PLLC

  • Dermatology Physician
  • Ashburn, VA
National Provider Identifier
1700073269
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101241757 Issued in VA
Legal business name
MARAGH DERMATOLOGY, PLLC
Practice address
45155 Research PL
Suite 140
Ashburn, VA 20147-4191
Phone
(703) 858-0500
Fax
(703) 858-5155
NPI assigned
Sep 28, 2007
Last updated
Apr 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Sherry LH Maragh, M.D.NPI 1366407157
Title
Managing Member
Phone
(703) 858-0500

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101241757 VA Primary
Dermatology Physician 207N00000X D0066429 MD
MOHS-Micrographic Surgery Physician 207ND0101X 0101241757 VA
MOHS-Micrographic Surgery Physician 207ND0101X D0066429 MD
Procedural Dermatology Physician 207NS0135X 0101241757 VA
Procedural Dermatology Physician 207NS0135X D0066429 MD

Addresses

Primary practice location

45155 Research PL
Suite 140
Ashburn, VA 20147-4191

Mailing address

45155 Research PL
Suite 140
Ashburn, VA 20147-4191
Phone (703) 858-0500

National Provider Directory

National Provider Directory

Locations

45155 Research Pl
Ashburn, VA 20147

45155 Research Pl
Ste 10
Ashburn, VA 20147

Practitioners & affiliated clinicians

Practitioners 8

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1700073269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45155 RESEARCH PL",
            "address_2": "SUITE 140",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474191",
            "telephone_number": "703-858-0500",
            "fax_number": "703-858-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45155 RESEARCH PL",
            "address_2": "SUITE 140",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474191",
            "telephone_number": "703-858-0500",
            "fax_number": "703-858-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAGH DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "MARAGH",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "703-858-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101241757",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0066429",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101241757",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "D0066429",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0101241757",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "D0066429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.