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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1073036687


NPI Information

NPI: 1073036687
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: AAMG ANNAPOLIS OB-GYN

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

CLIA Number: 21D0215494

Address:
1630 MAIN ST STE 211
CHESTER, MD
ZIP 21619
Phone: (410) 573-9530
Get Directions

LUMINIS HEALTH MEDICAL GROUP, LLC is an obstetrics gynecology in Chester, 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 1073036687. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aamg Annapolis Ob-gyn.

The provider's business location address is:

1630 MAIN ST STE 211
CHESTER, MD
ZIP 21619-793
Phone: (410) 573-9530

The provider's authorized official is Jeannette Wood .
The authorized official title is Reimbursement Administrator and has the following contact phone number (443) 481-6521.

The CLIA number assigned to this NPI record is 21D0215494 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2017 and was last updated on 5/21/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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