Maryland Dermatology Associates LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MARYLAND DERMATOLOGY ASSOCIATES LLC

Practice address

1502 S Main St Ste 304
Mount Airy, MD 21771-5374

Phone

(301) 829-4185

Fax

(301) 829-4187

NPI assigned

May 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Juris P Germanas, M.D.

Title

Manager

Phone

(301) 829-4185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1992930713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S MAIN ST STE 304",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715374",
            "telephone_number": "301-829-4185",
            "fax_number": "301-829-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S MAIN ST STE 304",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715374",
            "telephone_number": "301-829-4185",
            "fax_number": "301-829-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND DERMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "GERMANAS",
        "authorized_official_first_name": "JURIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-829-4185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Lee Marshall Jr., DPT, ECS, OCS, R.NCS
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• Marilyn Radcliffe Marshall
• Elisabeth Maribel Martinez
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• McKenzie Mathis, PT, DPT

• Dermatology Physician in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.