Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shane David Smith, MD

Individual provider Dermatology Physician · NPI 1124476676

Dr. Shane David Smith, MD is a Pathology in Glen Burnie, Maryland. Qualified in 2014, 12 years ago. Practices with Anne Arundel Dermatology PA, a 127-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

810 Landmark Dr Ste 217-219
Glen Burnie, MD 21061-4987
Phone: (443) 351-3376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence D0096028 (MD)

Record details

NPI number1124476676
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Anne Arundel Dermatology Pa — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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