ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1275167850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275167850 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Other Organization Name | DCH VASCULAR SURGERY |
| Practice Address |
8116 Good Luck Rd Ste 210 Lanham MD 20706-3508 |
| Mailing Address |
2001 Medical Pkwy Annapolis MD 21401-3773 |
| Practice Telephone | 2409654405 |
| Mailing Telephone | 4434811000 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | MARISSA ROSANIO (SENIOR MANAGER) |
| Authorized Official Telephone | 4434814150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DCH General Surgery Lanham | Doing Business As Name - Organization |
| DCH Vascular Surgery | Doing Business As Name - Organization |
| Doctors Community Surgical Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8118 Good Luck Rd, Lanham, MD 207063574 | 3015528118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187052 | Anne Arundel Physician Group, LLC | Surgery | 8116 Good Luck Rd Ste 215, Lanham, MD 20706-3508 | 2020-02-24 |
| 1851925309 | Anne Arundel Physician Group, LLC | Durable Medical Equipment & Medical Supplies | 4000 Mitchellville Rd Ste B116, Bowie, MD 20716-3143 | 2020-02-24 |
| 1942850334 | Anne Arundel Physician Group, LLC | Family Medicine | 1332 Cape St Claire Rd, Annapolis, MD 21409-5216 | 2019-09-17 |
| 1164088159 | Anne Arundel Physician Group, LLC | Family Medicine | 1110 S Talbot St Ste 6, St Michaels, MD 21663-2606 | 2019-05-15 |
| 1578127171 | Anne Arundel Physician Group, LLC | Family Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-04-29 |
| 1083191530 | Anne Arundel Physician Group, LLC | Midwife | 4175 N Hanson Ct Ste 201, Bowie, MD 20716-3181 | 2018-07-26 |
| 1811494990 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 403 Purdy St Ste 201, Easton, MD 21601-4059 | 2018-04-06 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
| 1417463951 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
| Street Address |
8116 GOOD LUCK RD STE 210 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063452282 | Laeeq Ahmad | Internal Medicine | 8116 Good Luck Rd Ste 210, Lanham, MD 20706-3508 | 2006-06-07 |
| 1356976989 | Anne Arundel Physician Group, LLC | Internal Medicine | 8116 Good Luck Rd Ste 210, Lanham, MD 20706-3508 | 2020-03-04 |
| 1902447113 | Deletra Harmon | Dietitian, Registered | 8116 Good Luck Rd Ste 210, Lanham, MD 20706-3508 | 2019-09-30 |
| 1487183075 | Capital Orthopaedic Specialists LLC | Dietitian, Registered | 8116 Good Luck Rd Ste 210, Lanham, MD 20706-3508 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447439484 | Surgical Associates Chartered | Surgery | 9811 Greenbelt Rd, Suite 104, Lanham, MD 20706-2215 | 2007-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678731 | Nova Vascular Specialists, LLC | Surgery | 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 | 2020-01-24 |
| 1033683339 | Vein and Vascular Institute of Central Maryland | Surgery | 1300 York Rd Ste 200, Lutherville, MD 21093-6090 | 2019-01-20 |
| 1932651312 | Elham Oumer | Surgery | 8730 Cherry Ln Ste 10, Laurel, MD 20707-6212 | 2016-11-01 |
| 1255742961 | Marta Vismer | Surgery | 19942 Gateshead Cir, Germantown, MD 20876-6311 | 2014-05-15 |
| 1023448305 | Samer Saiedy Md Gb LLC | Surgery | 1811 Crain Hwy S, Glen Burnie, MD 21061-5561 | 2013-11-22 |
| 1285077289 | Lucy Kupersmith | Surgery | 2002 Medical Pkwy Ste 502, Annapolis, MD 21401 | 2013-04-10 |
| 1316227150 | Joshua Dearing | Surgery | 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 | 2011-08-25 |
| 1861782492 | Norman Anthony Odyniec | Surgery | 9208 Levelle Dr, Chevy Chase, MD 20815-5604 | 2011-04-16 |
| 1730480872 | James F Mcguckin Md of Md Pa | Surgery | 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 | 2010-11-05 |
| 1194952796 | James M Salander, Md Pa | Surgery | 11119 Rockville Pile, #204, Rockville, MD 20852 | 2009-06-22 |
| Find all providers with the same taxonomy | ||||
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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.