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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1649812553


NPI Information

NPI: 1649812553
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: AAMG WOMEN'S COLLABORATIVE CARE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 21D2282135

Address:
2000 MEDICAL PKWY STE 309
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 224-1133
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LUMINIS HEALTH MEDICAL GROUP, LLC is an obstetrics gynecology in Annapolis, MD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1649812553. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aamg Women's Collaborative Care.

The provider's business location address is:

2000 MEDICAL PKWY STE 309
ANNAPOLIS, MD
ZIP 21401-745
Phone: (410) 224-1133
Fax: (410) 266-1639

The provider's authorized official is Peter Odenwald .
The authorized official title is Chief Operating Officer and has the following contact phone number (410) 573-6480.

The CLIA number assigned to this NPI record is 21D2282135 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2019 and was last updated on 5/9/2023.


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
1207V00000XObstetrics & GynecologyYes

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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