ANNE ARUNDEL PHYSICIAN GROUP, LLC


Address: 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376
Phone: 3019257610

ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1316372931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316372931
Entity Type Organization
Organization Name ANNE ARUNDEL PHYSICIAN GROUP, LLC
Other Organization Name ANNE ARUNDEL MEDICAL GROUP LARGO PRIMARY CARE
Practice Address 1450 Mercantile Ln
Suite 111
Largo
MD 20774-5376
Mailing Address Po Box 12622
Belfast
ME 04915-4017
Practice Telephone 3019257610
Practice Fax Number 3019257619
Mailing Telephone 4434816573
Mailing Fax Number 4434816515
Enumeration Date 2013-09-13
Last Update Date 2014-01-16
Authorized Official Name MR. STEPHEN L CLARKE (VICE PRESIDENT)
Authorized Official Telephone 4434816558
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 407175153 05

Other Provider/Organization Names

Other Name Type Code
Anne Arundel Medical Group Largo Primary Care Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1450 MERCANTILE LN
SUITE 111
City LARGO
State MD
Zip Code 20774-5376

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720070261 David A Gooray Internal Medicine 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 2005-08-19
1497287361 Holistic Health & Wellness Medical Spa Physical Therapist 1450 Mercantile Ln, 221, Largo, MD 20774-5376 2017-03-30
1831640465 Anne Arundel Physician Group LLC Dietitian, Registered 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 2016-10-19
1427505825 Holistic Health and Wellness Medical Spa Nurse Practitioner 1450 Mercantile Ln, Suite 221, Largo, MD 20774-5376 2016-09-02
1972903201 Heritage Pediatrics, Inc. Pediatrics 1450 Mercantile Ln, Suite #217, Largo, MD 20774-5376 2014-08-22
1679821458 Meetu Agrawal Internal Medicine 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 2012-08-27
1316232135 Jatin R Matta Physician Assistant 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 2011-06-09
1750696779 Susan E Jenkins, M.d.p.a. Obstetrics & Gynecology 1450 Mercantile Ln, Suite 117, Largo, MD 20774-5376 2010-08-13
1922249200 Lisa V. Thompson, Dds, LLC Clinic/Center 1450 Mercantile Ln, Suite 207a, Largo, MD 20774-5376 2009-03-16
1992998975 East Coast Gastroenterology LLC Pathology 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 2007-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922637156 Marie Charlotte Teboutsou Tsodzou Nurse Practitioner 9317 Lavall Drive, Upper Marlboro, MD 20774 2020-04-08
1467093443 Richland Support Services Corp. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11551 Joyceton Drive, Upper Marlboro, MD 20774 2019-10-01
1770134124 Alan L Kahn Counselor 301 Largo Rd., Largo, MD 20774 2019-09-26
1619522034 Francisca Ifeoma Alintah Registered Nurse 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 2019-08-02
1609337146 Crystal Osuchukwu Counselor 1300 Mccormick Dr, Upper Marlboro, MD 20774 2019-03-27
1861968489 Collaborative Concepts of Maryland Counselor 1400 Mercantile Lane, Suite 208, Largo, MD 20774 2018-10-22
1073097622 Triple Angels Homecare Services, Inc. In Home Supportive Care 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 2018-09-19
1922589654 Optimum Resource Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 2018-08-21
1811475254 Kolawole Richard Olatunde Home Health Aide 11405 Villa Court, Upper Marlboro, MD 20774 2018-07-28
1548747769 Tiara Williams Counselor 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 2018-07-20
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720686843 Bay Area Ipa, LLC Internal Medicine 8911 Silverthorn Rd, Largo, FL 33777-3170 2020-10-12
1265058622 Largo Clinic LLC Internal Medicine 10500 Ulmerton Rd Ste 360, Largo, FL 33771-3504 2020-06-22
1407239627 Charmaine Lamsin Internal Medicine 10309 Myrtle Oak Ln, Largo, FL 33777-1173 2015-07-07
1891101093 Mariya Milko Internal Medicine 13220 Belcher Rd S Unit 1, Largo, FL 33773-1677 2014-07-08
1942548557 Richard David Fournier Internal Medicine 1001 Starkey Rd Lot 446, Largo, FL 33771-5464 2013-01-17
1881942779 Legacy Health Medical Group, LLC Internal Medicine 3500 Oak Manor Ln # 46, Largo, FL 33774-1211 2012-08-27
1699047472 Arpit V Patel Internal Medicine 13220 Starkey Rd Ste 200, Largo, FL 33773-1445 2012-02-08
1922376847 Michael R Nicoula Internal Medicine 1345 West Bay Dirve, Suite 202, Largo, FL 33770-2276 2011-12-06
1306073689 Melissa Cristina Martinez Internal Medicine 10500 Ulmerton Rd # 202, Largo, FL 33771-3544 2009-06-15
1588813919 Kathleen Evelyn Schuster Internal Medicine 12921 126th Ter, Largo, FL 33774-2607 2008-09-10
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Competitor

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City LARGO
Zip Code 20774

Improve Information

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Dataset Information

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.

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