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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1972894277


NPI Information

NPI: 1972894277
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: PEDIATRIC HOSPITALISTS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2001 MEDICAL PKWY
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 481-1000
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LUMINIS HEALTH MEDICAL GROUP, LLC is a pediatrics in Annapolis, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1972894277. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Hospitalists.

The provider's business location address is:

2001 MEDICAL PKWY
ANNAPOLIS, MD
ZIP 21401-280
Phone: (443) 481-1000

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

The enumeration date for this NPI number is 4/21/2011 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
1208000000XPediatricsYes

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
1407175127MEDICAIDMARYLAND

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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