NPIMap

Organization Active NPI

Luminis Health Medical Group, LLC

Doing business as AAMC's Women's Center for Pelvic Health

  • Midwife
  • Odenton, MD
National Provider Identifier
1790262244
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Doing business as
AAMC's Women's Center for Pelvic Health
Practice address
1106 Annapolis Rd Ste 220
Odenton, MD 21113-1740
Phone
(443) 481-1199
Fax
(443) 481-1495
NPI assigned
Jul 26, 2018
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Peter Odenwald
Title
Reimbursement Administrators
Phone
(443) 481-6415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

1106 Annapolis Rd Ste 220
Odenton, MD 21113-1740

Mailing address

201 Defense Hwy Ste 100
Annapolis, MD 21401-8902
Phone (443) 481-5310

Other names 1

  • AAMC's Women's Center for Pelvic Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2051517Women's Center for Pelvic Health1106 Annapolis Road Suite 220, Odenton, MD 21113Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Anne Arundel Phy GRP LLC225 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": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1790262244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018902",
            "telephone_number": "443-481-5310",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 ANNAPOLIS RD STE 220",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131740",
            "telephone_number": "443-481-1199",
            "fax_number": "443-481-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "ODENWALD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "REIMBURSEMENT ADMINISTRATORS",
        "authorized_official_telephone_number": "443-481-6415"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAMC's Women's Center for Pelvic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.