ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1467767806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467767806 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Other Organization Name | ANNE ARUNDEL MEDICAL GROUP-NEUROLOGY SPECIALISTS |
| Practice Address |
2002 Medical Pkwy Suite 430 Annapolis MD 21401-3263 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4434811940 |
| Practice Fax Number | 4434811941 |
| Mailing Telephone | 4434816467 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | STEPHEN CLARKE (VICE PRESIDENT BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 4434816464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 407175122 | 05 | |
| MD | BCBS | CF6JAS | 01 |
| DC | BCBS | X581 | 01 |
| Other Name | Type Code |
|---|---|
| Anne Arundel Medical Group-Neurology Specialists | Doing Business As Name - Organization |
| 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 |
2002 MEDICAL PKWY SUITE 430 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448953 | Ayanna L James | Obstetrics & Gynecology | 2002 Medical Pkwy, Suite 635, Annapolis, MD 21401-3046 | 2005-06-28 |
| 1336611466 | Lauren Mason | Social Worker | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2018-12-31 |
| 1184131542 | Amanda Nicole Minnitte | Physical Therapy Assistant | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2018-01-08 |
| 1255878526 | Maryland Medicinal LLC | Physical Medicine & Rehabilitation | 2002 Medical Pkwy, Suite 150, Annapolis, MD 21401-3046 | 2017-01-25 |
| 1669917993 | Back To Fit Inc. | Physical Medicine & Rehabilitation | 2002 Medical Pkwy, 150, Annapolis, MD 21401-3046 | 2016-12-22 |
| 1821549528 | Anne Arundel Physician Group, LLC | Family Medicine | 2002 Medical Pkwy, Suite 460, Annapolis, MD 21401-3046 | 2016-10-18 |
| 1114372497 | Anne Arundel Physician Group, LLC | Clinical Neuropsychologist | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2016-04-25 |
| 1487040036 | Gaurav Srivastava | Ophthalmology | 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 2015-04-10 |
| 1164828679 | Med-park LLC | Pharmacy | 2002 Medical Pkwy, Ste 170, Annapolis, MD 21401-3046 | 2014-11-10 |
| 1992147631 | Zachary Scott La Fratta | Audiologist | 2002 Medical Pkwy, Suite 230 Sajak Building, Annapolis, MD 21401-3046 | 2013-07-23 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083818058 | Gurdeep Singh Ahluwalia | Psychiatry & Neurology | 122 Defense Hwy Ste 222, Annapolis, MD 21401 | 2007-06-13 |
| 1841703220 | Metropolitan Neurological Associates, LLC | Psychiatry & Neurology | 122 Defense Hwy Ste 222, Annapolis, MD 21401-7071 | 2017-11-08 |
| 1457877128 | Damanhuri D Alkaitis | Psychiatry & Neurology | 122 Defense Hwy Ste 222, Annapolis, MD 21401-7071 | 2017-08-15 |
| 1548558703 | Minas W Gebru | Psychiatry & Neurology | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2011-07-21 |
| 1699063925 | Shariff Sa'id Dunlap | Psychiatry & Neurology | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2011-07-20 |
| 1639465883 | Karl John Maki | Psychiatry & Neurology | 122 Defense Hwy, Suite 210, Annapolis, MD 21401-7069 | 2011-06-27 |
| 1497988836 | Neurological Medicine, P.a. | Psychiatry & Neurology | 180 Admiral Cochrane Dr, Suite 260, Annapolis, MD 21401-7300 | 2009-09-02 |
| 1801053574 | Morgan Johnson Harris | Psychiatry & Neurology | 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 | 2008-05-20 |
| 1467619601 | Arash Farhadi | Psychiatry & Neurology | 2002 Medical Parkway, Suite 430, Annapolis, MD 21401-3263 | 2008-05-16 |
| 1861686420 | Daniel Hexter Md Pa | Psychiatry & Neurology | 122 Defense Hwy, 210, Annapolis, MD 21401-7069 | 2007-08-28 |
| Find all providers in ANNAPOLIS | ||||
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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.