Organization Active NPI

Luminis Health Medical Group, LLC

Doing business as AAMG GYN Oncology Specialists

  • Clinic/Center
  • Severna Park, MD
National Provider Identifier
1932645355
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Doing business as
AAMG GYN Oncology Specialists
Luminis Health Integrative Cancer Care
Practice address
820 Ritchie Hwy Ste 100
Severna Park, MD 21146-4111
Phone
(443) 481-1000
Fax
(443) 481-4151
NPI assigned
Jan 9, 2017
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Kayla Snyder
Title
Authorized Official
Phone
(443) 481-5136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

820 Ritchie Hwy Ste 100
Severna Park, MD 21146-4111

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (443) 481-5136

Other practice location 1

2003 Medical Pkwy Ste 100
Annapolis, MD 21401-3076
Phone (443) 481-4884

Other names 2

  • AAMG GYN Oncology Specialists Doing business as
  • LUMINIS HEALTH INTEGRATIVE CANCER CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

183 Harry S Truman Pkwy
Ste 120
Annapolis, MD 21401
Phone (410) 266-9200

2003 Medical Pkwy
Ste 350
Annapolis, MD 21401
Phone (443) 481-1091

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1932645355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "443-481-5136",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 RITCHIE HWY STE 100",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464111",
            "telephone_number": "443-481-1000",
            "fax_number": "443-481-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Medical Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013076",
            "country_code": "US",
            "telephone_number": "443-481-4884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "443-481-5136"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAMG GYN Oncology Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AAMG GYN Oncology Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LUMINIS HEALTH INTEGRATIVE CANCER CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.