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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1073580205


NPI Information

NPI: 1073580205
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: LUMINIS HEALTH MATERNAL AND FETAL MEDICINE

Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

Address:
185 HARRY S TRUMAN PKWY STE 120
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 224-4442
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LUMINIS HEALTH MEDICAL GROUP, LLC is a maternal and fetal medicine obstetrics gynecology in Annapolis, MD. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1073580205. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Luminis Health Maternal And Fetal Medicine.

The provider's business location address is:

185 HARRY S TRUMAN PKWY STE 120
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 224-4442
Fax: (410) 224-8898

The provider's authorized official is Shawana Pinkett .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (443) 825-8275.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 4/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1297302204MEDICAIDMARYLAND
2407175103MEDICAIDMARYLAND
3407175108MEDICAIDMARYLAND
4760BCEOTHERBCBS
5407175112MEDICAIDMARYLAND
6K480OTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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