ANNE ARUNDEL MEDICAL CENTER, INC (NPI# 1285791871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285791871 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL MEDICAL CENTER, INC |
| Other Organization Name | ANNE ARUNDEL MEDICAL CENTER-OBGYN HOSPITALISTS |
| Practice Address |
2001 Medical Pkwy Acute Care Pavilion Annapolis MD 21401-3280 |
| Mailing Address |
Po Box 62280 Baltimore MD 21264-0001 |
| Practice Telephone | 4434811000 |
| Mailing Telephone | 4434816520 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-08-04 |
| Authorized Official Name | MR. STEOHEN L CLARKE (CFO) |
| Authorized Official Telephone | 4434816558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST | 250AAA | 01 |
| MD | JOHN HOPKINS HC | 210169 | 01 |
| MD | AETNA HMO | 2486501 | 01 |
| DC | CAREFIRST | 5588 | 01 |
| MD | AETNA PPO | 7367692 | 01 |
| Other Name | Type Code |
|---|---|
| Anne Arundel Medical Center-OBGYN hospitalists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023345253 | Anne Arundel Medical Center, Inc | Surgery | 4175 N Hanson Ct, 201, Bowie, MD 20716-3179 | 2009-11-09 |
| 1467789693 | Anne Arundel Medical Center, Inc | Surgery | 1630 Main St, 213, Chester, MD 21619-2791 | 2009-11-09 |
| 1477517225 | Anne Arundel Medical Center, Inc | General Acute Care Hospital | 2001 Medical Parkway, Health Sciences Pavilion - Suite 606, Annapolis, MD 21401 | 2006-04-17 |
| 1053380576 | Anne Arundel Medical Center, Inc | General Acute Care Hospital | 2001 Medical Pkwy, Annapolis, MD 21401-3280 | 2006-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ANNE ARUNDEL MEDICAL CENTER, INC. | 2001 Medical Parkway, Annapolis, MD 21401-3280 |
| Street Address |
2001 MEDICAL PKWY ACUTE CARE PAVILION |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269343 | Karl Derivas Holschuh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Medical Pkwy, 2nd Floor Donner Pavilion, Annapolis, MD 21401-3280 | 2005-07-14 |
| 1821698952 | Courtney Erin Lamb | Nurse Practitioner | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-10-28 |
| 1013537406 | Heather Zack | General Acute Care Hospital | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-26 |
| 1649890484 | Rebecca Scarlett Allen | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-22 |
| 1003435157 | Caroline Elizabeth Thomas | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-09 |
| 1275162604 | Nirmala Kammar Manjappachar | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
| 1144859505 | Sabina Nasirova | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
| 1528697976 | Ebenezer O. Oloyede | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
| 1699304253 | Elnaz Ebrahimihoor | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-06 |
| 1770112641 | Jessica Urania Reyes-peterson | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-03 |
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| 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 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891201216 | Masterpiece Institute of Aesthetics and Gynecology | Obstetrics & Gynecology | 116 Defense Hwy Ste 501, Annapolis, MD 21401 | 2017-12-21 |
| 1992061493 | Jessica B Ton | Obstetrics & Gynecology | 2000 Medical Pkwy Ste 309, Annapolis, MD 21401-3745 | 2012-04-09 |
| 1992088264 | Clifton Andrew Mcclain IIi | Obstetrics & Gynecology | 1603 Saint Margarets Rd, Annapolis, MD 21409-5540 | 2011-09-23 |
| 1285950154 | Janelle Christine Cooper | Obstetrics & Gynecology | 2000 Medical Pkwy Ste 304, Annapolis, MD 21401-3745 | 2010-04-15 |
| 1992955900 | Kristen Marie Linnell | Obstetrics & Gynecology | 2000 Medical Parkway Suite 310, Health Sciences Pavilion, Annapolis, MD 21041 | 2008-09-26 |
| 1295762185 | Donna Jasper D.o. | Obstetrics & Gynecology | 119 Kuethe Dr, Annapolis, MD 21403-4026 | 2006-06-27 |
| 1164495925 | Christine Ajjan Laky | Obstetrics & Gynecology | 185 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401 | 2006-02-10 |
| 1083693188 | Monica B Jones | Obstetrics & Gynecology | 2000 Medical Pkwy Ste 200, Annapolis, MD 21401-3744 | 2006-01-17 |
| 1366448953 | Ayanna L James | Obstetrics & Gynecology | 2002 Medical Pkwy, Suite 635, Annapolis, MD 21401-3046 | 2005-06-28 |
| 1235132945 | Mark L. Repka | Obstetrics & Gynecology | 2000 Medical Pkwy, Ste 304, Annapolis, MD 21401-3745 | 2005-05-27 |
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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.