NPIMap

Organization Active NPI

Luminis Health Medical Group, LLC

Doing business as Anne Arundel Medical Group Cardiology Specialists

  • Cardiovascular Disease Physician
  • Cambridge, MD
National Provider Identifier
1093284853
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Doing business as
Anne Arundel Medical Group Cardiology Specialists
Practice address
105 Aurora St
Cambridge, MD 21613-1903
Phone
(410) 897-0822
Fax
(410) 897-0095
NPI assigned
Nov 21, 2018
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeannette Wood
Title
Exec Direct of Phys Reimbursement
Phone
(443) 481-6521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

105 Aurora St
Cambridge, MD 21613-1903

Mailing address

2001 Medical Pkwy
Medical Staff Office
Annapolis, MD 21401-3773

Other identifiers 1

IdentifierTypeStateIssuer
153989OtherMDMEDICARE

Other names 1

  • Anne Arundel Medical Group Cardiology Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Luminis Health Primary Care Ginger Cove225 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1093284853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AURORA ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131903",
            "telephone_number": "410-897-0822",
            "fax_number": "410-897-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "EXEC DIRECT OF PHYS REIMBURSEMENT",
        "authorized_official_telephone_number": "443-481-6521"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "153989",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Arundel Medical Group Cardiology Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anne Arundel Medical Group Cardiology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.