Luminis Health Medical Group, LLC
Organization Active NPI Family Medicine Physician · Arnold, MD
NPI 1023085222 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1023085222
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- LUMINIS HEALTH MEDICAL GROUP, LLC
- Practice address
- 1460 Ritchie Hwy
Suite 202
Arnold, MD 21012-2497 - Phone
- (410) 757-6327
- Fax
- (410) 757-8461
- NPI assigned
- Mar 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ANNE ARUNDEL PHYSICIAN GROUP, LLC
Authorized official
- Name
- Mr. Steve Clarke
- Title
- Vice President
- Phone
- (443) 481-6476
Corporate family (same tax ID) 15
Practitioners 34
-
Jesselina Lovey Curry, M.D.
-
Haley Kathleen Diamond, APRN
-
Kacie Dunn, CRNP
-
Christopher B Fisher, PA-C
-
Teymi-Elise Herring, MPH, RDN, CDE
-
Victoria Norton Moore, M.D.
-
Charles Murimi Mugera, M.D.,MSC, MRCP(UK)
-
Chad Matthew Patton, M.D.
-
Jane Priscilla Roach, CRNP
-
Stephen R Selinger, M.D.
-
Brian J Sullivan, MD
-
William Stanley Sykora, M.D.
-
Yong Tao Zheng, MD
-
Theresa A Buckson, M.D.
-
Katharine Dupont, M.D.
-
Kenneth Neil Josovitz, M.D.
-
Amy L. O'Boyle, MD
-
Ashley Francesca Ayu, CRNP
-
Julie Ann Bache, CNM
-
Sarah Anne Brissey, CRNM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050317000146 | MD | Part B Supplier - Clinic/Group Practice | 2860447315 |
Receives reassigned benefits from 897 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Anne Arundel Phys Group LLC
- Part of
- Anne Arundel Phys Group LLC
Locations (25 of 39)
1419 Annapolis Mall
Annapolis, MD 21401
161 Jennifer Rd
Annapolis, MD 21401
2003 Medical Pkwy
Ste 2003
Annapolis, MD 21401
2000 Medical Pkwy
Ste 405
Annapolis, MD 21401
2000 Medical Pkwy
Ste 603
Annapolis, MD 21401
Phone (443) 481-3400
2001 Medical Pkwy
Ste 309
Annapolis, MD 21401
1106 Annapolis Mall
Ste 210
Annapolis, MD 21401
2448 Holly Ave
Ste 101
Annapolis, MD 21401
Phone (410) 693-3161
2002 Medical Pkwy
Ste 6
Annapolis, MD 21401
1006 Annapolis Mall Ste 120
Annapolis, MD 21401
183 Harry S Truman Pkwy
Ste 210
Annapolis, MD 21401
185 Harry S Truman Pkwy
Ste 210
Annapolis, MD 21401
2000 Medical Pkwy
Ste 210
Annapolis, MD 21401
185 Harry S Truman Pkwy
Ste 118
Annapolis, MD 21401
2009 Tidewater Colony Dr
#A
Annapolis, MD 21401
701 Glenwood St
Ste 1
Annapolis, MD 21401
1106 Annapolis Mall
Ste 120
Annapolis, MD 21401
2003 Medical Pkwy
Ste G60
Annapolis, MD 21401
2003 Medical Pkwy
Ste 670
Annapolis, MD 21401
2001 Medical Pkwy
Ste 635
Annapolis, MD 21401
2002 Medical Pkwy
Ste G60
Annapolis, MD 21401
2001 Medical Pkwy
Ste 510
Annapolis, MD 21401
4000 Mitchellville Rd
Ste B120
Bowie, MD 20716
100 Bramble St
Ste F
Cambridge, MD 21613
100 Bramble St
Ste E
Cambridge, MD 21613
Phone (410) 820-0038
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1460 Ritchie Hwy
Suite 202
Arnold, MD 21012-2497
Mailing address
PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-5047
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407175118 | Medicaid | MD | |
| K642 | Other | DC | BCBS |
| 954BAR | Other | MD | BCBS |
Other names
- ARNOLD FAMILY MEDICINE
Other providers in Arnold, MD
- Suzanne Linkroum
- Little Way Home Care, LLC
- Janelle Love
- Shannon Corcoran Love
- Loving Home Healthcare Services
- Katherine Maas
- Magothy Therapy & Wellness LLC
- Pagie Mallin
- Vanessa Marie Martin
- Gail Martinez Waters
All providers in Arnold, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.