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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1841519741


NPI Information

NPI: 1841519741
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: OB/GYN HOSPITALISTS

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
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 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 1841519741. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ob/gyn Hospitalists.

The provider's business location address is:

2001 MEDICAL PKWY
ACUTE CARE PAVILION
ANNAPOLIS, MD
ZIP 21401-280
Phone: (443) 481-1000
Fax: (443) 481-6933

The provider's authorized official is Peter Odenwald .
The authorized official title is Vp Business Development and has the following contact phone number (443) 481-6415.

The enumeration date for this NPI number is 5/18/2010 and was last updated on 5/24/2021.


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

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
1407175125MEDICAIDMARYLAND
2607156011OTHERDEPARTMENT OF LABOR
3CS9PAAOTHERCAREFIRST MD
4V817OTHERCAREFIRST

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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