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LUMINIS HEALTH MEDICAL GROUP LLC NPI 1649248485


NPI Information

NPI: 1649248485
Provider Name: LUMINIS HEALTH MEDICAL GROUP, LLC

Doing Business As: ANNAPOLIS SURGICAL ONCOLOGY ASSOCIATES

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2003 MEDICAL PKWY
SUITE 301
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 481-3717
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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 1649248485. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Annapolis Surgical Oncology Associates.

The provider's business location address is:

2003 MEDICAL PKWY
SUITE 301
ANNAPOLIS, MD
ZIP 21401-992
Phone: (443) 481-3717
Fax: (443) 481-3720

The provider's authorized official is Peter Odenwald .
The authorized official title is Chief Operating Offier and has the following contact phone number (410) 573-6480.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 5/9/2023.


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
1183CANOTHERMARYLANDBCBS
2407175105MEDICAIDMARYLAND
3K766OTHERDISTRICT OF COLUMBIABCBS

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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