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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1205154853


NPI Information

NPI: 1205154853
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: THE BREAST CENTER

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
4175 N HANSON CT
SUITE 201
BOWIE, MD
ZIP 20716
Phone: (443) 481-5300
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LUMINIS HEALTH MEDICAL GROUP, LLC is a surgery in Bowie, 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 1205154853. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Breast Center.

The provider's business location address is:

4175 N HANSON CT
SUITE 201
BOWIE, MD
ZIP 20716-179
Phone: (443) 481-5300
Fax: (443) 481-6705

The provider's authorized official is Stephen Clarke .
The authorized official title is Vp Business Development and has the following contact phone number (443) 481-6476.

The enumeration date for this NPI number is 5/6/2010 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1V838OTHERDISTRICT OF COLUMBIABCBS
2407175130MEDICAIDMARYLAND
3CS11BROTHERMARYLANDBCBS

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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