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

Juan Liu

Individual provider Surgical Physician Assistant · NPI 1396100095

Juan Liu is a Physician Assistant in Ellicott City, Maryland. Qualified in 2015, 11 years ago. Practices with Integrated Dermatology Group LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3820 Bonnybridge Pl
Ellicott City, MD 21043-4133
Phone: (443) 854-4748
Show map & directions

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

Additional practice locations (1)

  • 8890 McGaw Rd Ste 150, Columbia, MD 21045-4743 — (410) 203-0607

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0006000 (MD)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence C0006000 (MD)

Record details

NPI number1396100095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2015
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Integrated Dermatology Group Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ellicott City