ANNE ARUNDEL PHYSICIAN GROUP LLC (NPI# 1184691313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184691313 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Other Organization Name | ANNAPOLIS THORACIC SURGERY ASSOCIATES |
| Practice Address |
2003 Medical Pkwy Suite 301 Annapolis MD 21401-7992 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4434813300 |
| Practice Fax Number | 4434813315 |
| Mailing Telephone | 4434816538 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2013-11-29 |
| Authorized Official Name | MR. STEPHEN CLARKE III (VICE PRESIDENT) |
| Authorized Official Telephone | 4434816476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS | 926BAN | 01 |
| DC | BCBS | K641 | 01 |
| MD | 407175102 | 05 |
| Other Name | Type Code |
|---|---|
| ANNAPOLIS THORACIC SURGERY ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093342438 | Anne Arundel Physician Group LLC | Internal Medicine | 2003 Medical Pkwy Ste 350, Annapolis, MD 21401-3081 | 2020-03-25 |
| 1558732776 | Anne Arundel Physician Group LLC | Psychiatric Unit | 175 Harry S Truman Pkwy, Annapolis, MD 21401-7573 | 2015-10-14 |
| 1548595978 | Anne Arundel Physician Group LLC | Internal Medicine | 1106 Annapolis Rd Ste 210, Odenton, MD 21113-1740 | 2009-10-02 |
| 1588682389 | Anne Arundel Physician Group LLC | Internal Medicine | 2009 Tidewater Colony, Suite 2a, Annapolis, MD 21401 | 2006-07-18 |
| 1831640465 | Anne Arundel Physician Group LLC | Dietitian, Registered | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2016-10-19 |
| 1811353733 | Anne Arundel Physician Group LLC | Advanced Practice Midwife | 401 Purdy St, Suite 102, Easton, MD 21601-4060 | 2016-01-07 |
| 1407227598 | Anne Arundel Physician Group LLC | Advanced Practice Midwife | 401 Purdy St, Suite 102, Easton, MD 21601-4060 | 2015-10-14 |
| 1851710552 | Anne Arundel Physician Group LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2014-04-09 |
| 1063837490 | Anne Arundel Physician Group LLC | Family Medicine | 8109 Ritchie Hwy, Suite 100, Pasadena, MD 21122-6917 | 2014-02-21 |
| 1871920702 | Anne Arundel Physician Group LLC | Family Medicine | 555 Cynwood Dr, Easton, MD 21601-3801 | 2013-10-10 |
| Street Address |
2003 MEDICAL PKWY SUITE 301 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383089 | Christy L. Crowther | Nurse Practitioner | 2003 Medical Pkwy, Suite 400, Annapolis, MD 21401-7992 | 2005-05-31 |
| 1366056715 | Jamie Marie Morrison | Nurse Practitioner | 2003 Medical Pkwy, Annapolis, MD 21401-7992 | 2020-09-03 |
| 1598204372 | Katherine Hill | Nurse Practitioner | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-7992 | 2017-02-14 |
| 1275072001 | Women's Center for Pelvic Health | General Acute Care Hospital | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-7992 | 2017-02-13 |
| 1033654538 | Diana Abell | Licensed Practical Nurse | 2003 Medical Pkwy, Suite G50, Annapolis, MD 21401-7992 | 2016-12-20 |
| 1437605474 | Womens Center for Pelvic Health | Nurse Practitioner | 2003 Medical Pkwy, Wayson Pavillion, Suite 150, Annapolis, MD 21401-7992 | 2016-08-30 |
| 1457706897 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 2003 Medical Pkwy, Suite 400, Annapolis, MD 21401 | 2016-05-03 |
| 1154719391 | Anne Arundel Physician Group, LLC | Clinic/Center | 2003 Medical Pkwy, Suite G50, Annapolis, MD 21401-7992 | 2014-12-22 |
| 1356750996 | Mary Mayzel | Advanced Practice Midwife | 2003 Medical Pkwy, Suite G50, Annapolis, MD 21401-7992 | 2014-08-07 |
| 1447669197 | Katherine Anita Smollon | Nurse Practitioner | 2003 Medical Pkwy, Wayson Pavillion, Suite 150, Annapolis, MD 21401-7992 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745336 | David Myers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 713 Childs Point Rd, Annapolis, MD 21401-4498 | 2020-03-18 |
| 1134363500 | Ferdinand S. Leacock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3442 Rockway Ave, Annapolis, MD 21403-4852 | 2009-04-28 |
| 1548269343 | Karl Derivas Holschuh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Medical Pkwy, 2nd Floor Donner Pavilion, Annapolis, MD 21401-3280 | 2005-07-14 |
| 1033433552 | Jonathan Kiev Md Pa LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2002 Medical Pkwy, Ste 660, Annapolis, MD 21401-3046 | 2010-03-26 |
| 1669522751 | Avedis Meneshian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2003 Medical Pkwy, Suite 301, Annapolis, MD 21401-7992 | 2007-01-11 |
| 1356491450 | Stephen Michael Cattaneo II | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2003 Medical Pkwy, Suite 301, Annapolis, MD 21401-7992 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457652505 | Richard Nathaniel Scott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13321 Ridgewood Dr, Ellicott City, MD 21042-1265 | 2010-11-05 |
| 1144458449 | Lindsey Michelle Prescher | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Wisconsin Ave Cardiothoracic Surgery Department, Bethesda, MD 20889-0140 | 2009-06-24 |
| 1235377862 | Paul Damien Hatton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3107 Black Chestnut Ln, Chevy Chase, MD 20815-4754 | 2009-02-04 |
| 1821252370 | Parijat Mukund Didolkar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5051 Greenspring Ave Ste 304, Baltimore, MD 21209 | 2008-07-14 |
| 1801054630 | The Medical Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7500 Hanover Pkwy Ste 205, Greenbelt, MD 20770-2009 | 2008-05-29 |
| 1871777995 | Barry J. Levin, M.d. LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10215 Fernwood Rd Ste 405, Bethesda, MD 20817-1191 | 2007-12-26 |
| 1518140946 | Nicholas John Karis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2435 W Belvedere Ave Ste 42, Baltimore, MD 21215-5224 | 2007-12-07 |
| 1336349554 | Cardiac Surgery Associates, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3328 Butler Rd, Reisterstown, MD 21136-3855 | 2007-07-25 |
| 1447465356 | Stefano Schena | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1800 Orleans St Ste 7107, Baltimore, MD 21287-0010 | 2007-05-14 |
| 1679646301 | Avraam C. Karas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8113 Harford Road, Suite 100, Parkville, MD 21234 | 2006-11-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.