Melissa Smith Dittrich, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0058782 Issued in MD

Practice address

224 Mayo Rd Ste a
Edgewater, MD 21037-2951

Phone

(410) 956-6302

Fax

(410) 956-6637

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Azam Baig,M.D.

  dba South River Pediatrics

  • Primary Care Clinic/Center
  • Edgewater, MD
  • NPI 1124123716
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1851669394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 MAYO RD STE A",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372951",
            "telephone_number": "410-956-6302",
            "fax_number": "410-956-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 MAYO RD STE A",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372951",
            "telephone_number": "410-956-6302",
            "fax_number": "410-956-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTRICH",
        "first_name": "MELISSA",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0058782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Regino Dargahi, PT, DPT
• Catherine Marie Davis
• Dentist in Edgewater LLC
• Carol Dickerson
• Rosanne Marie Dimaggio, LPN
• Mary Doerschner
• Kevin Richard Doring, DDS
• Mackenzie Doshi, PA-C
• Dr. Richard C. Fidanza LLC
• Laura C Dreany-Pyles, LCSWC

• Pediatrics Physician in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.