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Clarksburg Dermatology and Skincare LLC

Nurse Practitioner in Clarksburg, MD · enumerated 2018 · authorized official Johanna Fangmeyer, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316439078

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Registry record

Entity type Organization (Type 2)
Legal business name Clarksburg Dermatology and Skincare LLC
Practice address 23202 Brewers Tavern Way, Clarksburg, MD, 20871
Fax (301) 540-1865
Enumeration date May 30, 2018
Last updated in NPPES Jul 12, 2018

Taxonomy & classification

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R134352 (MD) Primary

Authorized official

Name Johanna Fangmeyer
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Clarksburg Dermatology and Skincare LLC?
The NPI for Clarksburg Dermatology and Skincare LLC is 1316439078, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clarksburg Dermatology and Skincare LLC?
NPPES lists Johanna Fangmeyer (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-12.