Individual provider Active NPI

Emma Kennedy Weber, PA

  • Physician Assistant
  • Towson, MD
National Provider Identifier
1962058370
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009433 Issued in VA
Practice address
810 Gleneagles CT Ste 204
Towson, MD 21286-2236
Phone
(443) 351-3376
Fax
(410) 296-5463
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0009433 VA Primary

Addresses

Primary practice location

810 Gleneagles CT Ste 204
Towson, MD 21286-2236

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

180 Admiral Cochrane Dr Ste 410
Annapolis, MD 21401-8405
Phone (667) 383-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240808004139 MD Practitioner - Physician Assistant 2466884044 Reassigns benefits to 1 organization
I20240808004413 DC Practitioner - Physician Assistant 2466884044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

1185 Imperial Dr
Suite 201
Hagerstown, MD 21740-6673
Phone (443) 351-3376

180 Admiral Cochrane Dr
Annapolis, MD 21401-8405
Phone (410) 263-5439

810 Gleneagles CT
Suite 204
Towson, MD 21286-2236
Phone (443) 351-3376

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants of Gloucester P L L C CurrentSince Aug 18, 2019 Accepting new patients
Anne Arundel Dermatology, P.a. PastSince Aug 11, 2024 Accepting new patients

Locations

6790 Wood Ridge Dr
Gloucester, VA 23061
Phone (804) 693-5627

Interoperability endpoints

  • Direct secure messaging: eweber@aadermaffiliates.emadirect.md

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1962058370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 GLENEAGLES CT STE 204",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862236",
            "telephone_number": "443-351-3376",
            "fax_number": "410-296-5463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Admiral Cochrane Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018405",
            "country_code": "US",
            "telephone_number": "667-383-7546",
            "fax_number": "410-263-7482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "EMMA",
        "middle_name": "KENNEDY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "C0009433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.