ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1558810176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558810176 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Other Organization Name | ANNE ARUNDEL MEDICAL GROUP-CARDIOLOGY SPECIALISTS |
| Practice Address |
505 Dutchmans Ln Easton MD 21601-4302 |
| Mailing Address |
201 Defense Hwy Suite 100 Annapolis MD 21401-8943 |
| Practice Telephone | 4108970822 |
| Practice Fax Number | 4108970095 |
| Mailing Telephone | 4434813354 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | MR. STEPHEN CLARKE (VICE PRESIDENT) |
| Authorized Official Telephone | 4434813354 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Anne Arundel Medical Group-Cardiology 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 |
505 DUTCHMANS LN |
| City | EASTON |
| State | MD |
| Zip Code | 21601-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504260 | Stanley Marcer Bysshe Jr. | Surgery | 505 Dutchmans Ln, Building B, Easton, MD 21601-4302 | 2005-11-07 |
| 1518444066 | Anne Arundel Physician Group, LLC | Midwife | 505 Dutchmans Ln, Easton, MD 21601-4302 | 2018-07-26 |
| 1548710544 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 505 Dutchmans Ln, Easton, MD 21601-4302 | 2016-10-13 |
| 1992255905 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 505 Dutchmans Ln, Easton, MD 21601-4302 | 2016-10-13 |
| 1407102643 | Anne Arundel Physician Group LLC | Surgery | 505 Dutchmans Ln, Easton, MD 21601-4302 | 2012-07-25 |
| 1063732576 | Chesapeake Neurosurgical Services LLC | Neurological Surgery | 505 Dutchmans Ln, Bldg A, Easton, MD 21601-4302 | 2010-06-07 |
| 1104051945 | Elizabeth Smelter Clayton | Internal Medicine | 505 Dutchmans Ln, Suite A2, Easton, MD 21601-4302 | 2009-05-22 |
| 1639368046 | Syed I Ali Md | Internal Medicine | 505 Dutchmans Ln, #a, Easton, MD 21601 | 2007-10-22 |
| 1124162961 | Roger Amadeus Orsini | Plastic Surgery | 505 Dutchmans Ln, Easton, MD 21601-4302 | 2007-02-16 |
| 1972696490 | Peter L Whitesell Md Pa | Internal Medicine | 505 Dutchmans Ln, Easton, MD 21601 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184002586 | Genesis Vascular of Lehigh Valley, LLC | Internal Medicine | 2111 Washington Blvd Ste 1, Easton, PA 18042-3803 | 2015-05-18 |
| 1376989467 | Thomas Fauntleroy Jr. | Internal Medicine | 27809 Waverly Rd, Easton, MD 21601-8123 | 2013-05-15 |
| 1932329117 | Harold Wesley Draper | Internal Medicine | 9241 Chapel Road, Easton, MD 21601-6363 | 2007-04-27 |
| 1174624530 | Pradeep S. Ghia, M.d., P.C. | Internal Medicine | 123 S 22nd St, Easton, PA 18042-3808 | 2006-09-26 |
| 1740224245 | Juan Cordero | Internal Medicine | 505 Dutchmans Ln Ste A3, Easton, MD 21601-4302 | 2006-06-15 |
| 1346220019 | Morton E Kalus Jr. | Internal Medicine | 500 Cadmus Ln Ste 207, Easton, MD 21601 | 2006-01-19 |
| 1861494056 | Easton Cardiovascular Associates, PC | Internal Medicine | 175 S 21st St, Easton, PA 18042-3835 | 2005-06-01 |
| 1679575856 | Gary Costacurta | Internal Medicine | 2001 Fairview Ave, Easton, PA 18042-3915 | 2005-06-01 |
| 1750947388 | Anne Arundel Physician Group, LLC | Internal Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-20 |
| 1326584863 | Dr Mascarenhas Cardiology | Internal Medicine | 175 S 21st Street, Easton, PA 18042 | 2017-01-09 |
| Find all providers in EASTON | ||||
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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.