{"npi":"1083200794","type":"NPI-2","status":"active","name":{"display":"Anne Arundel Dermatology Affiliates PC","other":[],"organization_name":"ANNE ARUNDEL DERMATOLOGY AFFILIATES PC","authorised_official":"Angela Peterman"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":false,"state":null,"license":null},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":null,"license":null},{"code":"207ZD0900X","description":"Dermatopathology (Pathology) Physician","primary":false,"state":null,"license":null},{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"54 SCOTT ADAM RD STE 301","city":"HUNT VALLEY","state":"MD","postal_code":"210303360","country_code":"US","phone":"4433513376"},{"purpose":"MAILING","street_1":"1306 CONCOURSE DR STE 201","city":"LINTHICUM","state":"MD","postal_code":"210901033","country_code":"US","phone":"4103849311","fax":"4103849433"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210215001380","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"1153736632"},{"enrlmt_id":"O20210217000355","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MD","pac_id":"1153736632"}]},"enumeration_date":"2020-12-16","last_updated":"2024-04-23","_meta":{"source":"NPPES","snapshot_date":"2024-04-23","doc_url":"https://findmynpi.com/api"}}