- Practice location
- 4175 N Hanson CT, Suite 201, Bowie, MD 20716-3179
- Phone
- 443-481-3713
- Fax
- —
- Last updated
- May 24, 2021
Luminis Health Medical Group, LLC is a healthcare organization based in Bowie, MD. Luminis Health Medical Group, LLC practices in Bowie, MD. The NPI Number for Luminis Health Medical Group, LLC is 1851710552 and holds a License No. D68660 (MD). The current practice location address for Luminis Health Medical Group, LLC is 4175 N Hanson CT, Suite 201, Bowie, MD 20716-3179 and can be reached out via phone at 443-481-3713.
Provider Profile Details
- NPI Number
- 1851710552
- Provider Name
- Luminis Health Medical Group, LLC
- Provider Entity Type
- Organization
- Address
- 4175 N Hanson CT, Suite 201, Bowie, MD 20716-3179
- Phone Number
- 443-481-3713
- Primary Taxonomy
- Surgery, Surgical Oncology · 2086X0206X
- Organization Subpart
- No
- Authorized Official
- Peter Odenwald · Vice President · 443-481-6415
- Other Names
- Annapolis Surgical Oncology Associates (Doing Business As)
- Provider Enumeration Date
- April 9, 2014
- Last Update Date
- May 24, 2021
- Certification Date
- May 24, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4175 N Hanson CT
Suite 201
Bowie, MD 20716-3179 - City
- Bowie
- State
- Maryland
- Zip
- 20716-3179
- Phone Number
- 443-481-3713
Provider Business Mailing Address Details
- Address
- Po Box 12622
Belfast, ME 04915-4017 - City
- Belfast
- State
- ME
- Zip
- 04915-4017
- Phone Number
- 443-481-6538
License Information
- License Number
- D68660
- License State
- MD
- Taxonomy
- Surgery, Surgical Oncology · 2086X0206X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Luminis Health Medical Group, LLC?
The NPI number of Luminis Health Medical Group, LLC is 1851710552. It was assigned on April 9, 2014 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 Surgery, Surgical Oncology (code 2086X0206X), licensed in MD under license number D68660.
Where does Luminis Health Medical Group, LLC practice?
The practice location is 4175 N Hanson CT, Suite 201, Bowie, MD 20716-3179. The office can be reached at 443-481-3713 (phone).
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 1851710552 directly on the NPPES registry website.