- Practice location
- 2000 Medical Pkwy, Suite 605, Annapolis, MD 21401-3742
- Phone
- 410-266-5667
- Fax
- 410-266-9332
- Last updated
- May 21, 2021
Luminis Health Medical Group, LLC is a healthcare organization based in Annapolis, MD. Luminis Health Medical Group, LLC practices in Annapolis, MD. The NPI Number for Luminis Health Medical Group, LLC is 1063800506. The current practice location address for Luminis Health Medical Group, LLC is 2000 Medical Pkwy, Suite 605, Annapolis, MD 21401-3742 and can be reached out via phone at 410-266-5667 and via fax at 410-266-9332.
Provider Profile Details
- NPI Number
- 1063800506
- Provider Name
- Luminis Health Medical Group, LLC
- Provider Entity Type
- Organization
- Address
- 2000 Medical Pkwy, Suite 605, Annapolis, MD 21401-3742
- Phone Number
- 410-266-5667
- Fax Number
- 410-266-9332
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Stephen Clarke · Vice President · 443-481-6476
- Other Names
- Staci Gulbin, RD (Doing Business As)
- Provider Enumeration Date
- January 7, 2015
- Last Update Date
- May 21, 2021
- Certification Date
- May 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2000 Medical Pkwy
Suite 605
Annapolis, MD 21401-3742 - City
- Annapolis
- State
- Maryland
- Zip
- 21401-3742
- Phone Number
- 410-266-5667
- Fax Number
- 410-266-9332
Provider Business Mailing Address Details
- Address
- Po Box 12622
Belfast, ME 04915-4017 - City
- Belfast
- State
- ME
- Zip
- 04915-4017
- Phone Number
- 443-481-6460
- Fax Number
- 443-481-6515
License Information
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Annapolis, MD
View all Dietitian, Registered providers in Annapolis →Frequently Asked Questions
What is the NPI number of Luminis Health Medical Group, LLC?
The NPI number of Luminis Health Medical Group, LLC is 1063800506. It was assigned on January 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Luminis Health Medical Group, LLC?
Luminis Health Medical Group, LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Luminis Health Medical Group, LLC practice?
The practice location is 2000 Medical Pkwy, Suite 605, Annapolis, MD 21401-3742. The office can be reached at 410-266-5667 (phone) or 410-266-9332 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063800506 directly on the NPPES registry website.