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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1164740981


NPI Information

NPI: 1164740981
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: ANNE ARUNDEL MEDICAL GROUP ACUTE CARE SURGERY

Classification: Surgery - 208600000X
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 a surgery in Annapolis, MD. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. LUMINIS HEALTH MEDICAL GROUP, LLC NPI is 1164740981. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Anne Arundel Medical Group Acute Care Surgery.

The provider's business location address is:

2001 MEDICAL PKWY
ACUTE CARE PAVILION
ANNAPOLIS, MD
ZIP 21401-280
Phone: (443) 481-1000
Fax: (443) 481-1360

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 enumeration date for this NPI number is 5/5/2010 and was last updated on 5/18/2023.


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
1208600000XSurgeryYes

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
1407175126MEDICAIDMARYLAND
2607156013OTHERUS DEPARTMENT OF LABOR

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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