Individual provider Active NPI

Mary Elizabeth Walterhoefer, M.D.

  • Dermatology Physician
  • Annapolis, MD
National Provider Identifier
1831586718
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101266341 Issued in VA
Practice address
810 Bestgate Rd Ste 450
Annapolis, MD 21401-3648
Phone
(410) 384-3045
Fax
(410) 384-3044
NPI assigned
Apr 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101266341 VA Primary

Addresses

Primary practice location

810 Bestgate Rd Ste 450
Annapolis, MD 21401-3648

Mailing address

810 Bestgate Rd Ste 450
Annapolis, MD 21401-3648
Phone (104) 384-3045

Other practice location 1

1525 Wilson Blvd
Suite 125
Arlington, VA 22209-2411
Phone (703) 966-7127

Other names 1

  • Mary Elizabeth Laschinger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190627001804 DC Practitioner - Dermatology 4587959267 Reassigns benefits to 1 organization
I20220329000966 MD Practitioner - Dermatology 4587959267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Current Dermatology and Cosmetic Center LLCGroup PAC ID 2466845466, 4 clinicians

Practice addresses (Care Compare)

810 Bestgate Rd
Suite 450
Annapolis, MD 21401-3648
Phone (410) 384-3045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions359
Skin biopsy71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Current Dermatology and Cosmetic Center LLC Dermatology CurrentSince Feb 27, 2022 Accepting new patients
Skindc PLLC Dermatology CurrentSince Jun 1, 2019 Accepting new patients
Current Dermatology and Cosmetic Center of Baltimore County, LLC Dermatology PastSince Feb 27, 2022 Accepting new patients

Locations

810 Bestgate Rd
Ste 450
Annapolis, MD 21401
Phone (410) 384-3045

1525 Wilson Blvd
Ste 125
Arlington, VA 22209
Phone (703) 214-6496

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00062

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1831586718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 450",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013648",
            "telephone_number": "104-384-3045",
            "fax_number": "104-384-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 450",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013648",
            "telephone_number": "410-384-3045",
            "fax_number": "410-384-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Wilson Blvd",
            "address_2": "Suite 125",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222092411",
            "country_code": "US",
            "telephone_number": "703-966-7127",
            "fax_number": "844-357-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERHOEFER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-19",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101266341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LASCHINGER",
            "middle_name": "ELIZABETH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.