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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1285953182


NPI Information

NPI: 1285953182
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: INTENSIVISTS

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
2001 MEDICAL PKWY
ACUTE CARE PAVILION
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 481-1000
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LUMINIS HEALTH MEDICAL GROUP, LLC is a critical care medicine internal medicine in Annapolis, MD. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1285953182. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Intensivists.

The provider's business location address is:

2001 MEDICAL PKWY
ACUTE CARE PAVILION
ANNAPOLIS, MD
ZIP 21401-280
Phone: (443) 481-1000
Fax: (443) 481-1687

The provider's authorized official is Stephen L Clarke .
The authorized official title is Vp Business Development and has the following contact phone number (443) 481-6476.

The enumeration date for this NPI number is 5/18/2010 and was last updated on 2/25/2022.


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
1207RP1001XInternal MedicinePulmonary DiseaseNo
2207R00000XInternal MedicineNo
3207RC0200XInternal MedicineCritical Care 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
1V814OTHERCAREFIRST
2145724700OTHERDEPT OF LABOR, WORKMAN'S COMP
3407175115MEDICAIDMARYLAND
4CS95AAOTHERCAREFIRST MARYLAND

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: 11/14/2023

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