ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1629634597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629634597 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Practice Address |
28438 Marlboro Ave Easton MD 21601-2732 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4108222440 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | PETER ODENWALD (VICE PRESIDENT) |
| Authorized Official Telephone | 4434816415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AAMG 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 |
28438 MARLBORO AVE |
| City | EASTON |
| State | MD |
| Zip Code | 21601-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578127171 | Anne Arundel Physician Group, LLC | Family Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-04-29 |
| 1306482963 | Kimberly Ann-marie Riffle | Physical Therapist | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-11-19 |
| 1144887688 | Aamg Physical Therapy, LLC | Physical Therapist | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-21 |
| 1841856473 | Anne Arundel Physician Group, LLC | Surgery | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-20 |
| 1750947388 | Anne Arundel Physician Group, LLC | Internal Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-20 |
| 1164088795 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-20 |
| 1356907984 | Aamg Physical Therapy, LLC | Physical Therapist | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-20 |
| 1639736200 | Anne Arundel Physician Group, LLC | Surgery | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-20 |
| 1023674827 | Orthopedic Physicians of Annapolis LLC | Durable Medical Equipment & Medical Supplies | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-16 |
| 1679139646 | Orthopedic Physicians of Annapolis,llc | Orthopaedic Surgery | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-15 |
| 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 | 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 |
|---|---|---|---|---|
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1629636790 | Catherine Rachel Craven | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2019-06-03 |
| 1033481718 | Terry P Detrich Md Pa | Psychiatry & Neurology | 140 S Washington St, Easton, MD 21601-2912 | 2012-01-27 |
| 1154433720 | Terry Detrich | Psychiatry & Neurology | 545 Cynwood Dr, Easton, MD 21601 | 2006-08-31 |
| 1225659980 | Nora Ko | Psychiatry & Neurology | 1700 St Lukes Blvd, Easton, PA 18045-5670 | 2020-05-04 |
| 1811518954 | Cory Hackmyer | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2020-04-29 |
| 1316567779 | Seung Yun Kim | Psychiatry & Neurology | 1700 St Lukes Blvd, Easton, PA 18045-5670 | 2020-04-25 |
| 1912526690 | Jenifer Nicole Moceri | Psychiatry & Neurology | 1700 St Lukes Blvd, Easton, PA 18045-5670 | 2020-04-13 |
| 1306490610 | Terry P Detrich Md | Psychiatry & Neurology | 545 Cynwood Dr, Easton, MD 21601-3864 | 2019-07-25 |
| 1487213492 | Adriana Carola Mendez | Psychiatry & Neurology | St. Luke's University Health Network - Anderson, Medical Education Office 1700 St. St. Luke's Blvd, Easton, PA 18045-3592 | 2019-06-12 |
| 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.