ANNE ARUNDEL PHYSICIAN'S GROUP, LLC (NPI# 1720304223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720304223 |
Entity Type | Organization |
Organization Name | ANNE ARUNDEL PHYSICIAN'S GROUP, LLC |
Practice Address |
4175 N Hanson Ct Ste 201 Bowie MD 20716-3179 |
Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
Practice Telephone | 4434811199 |
Practice Fax Number | 4434811495 |
Mailing Telephone | 4434816572 |
Mailing Fax Number | 4434816515 |
Enumeration Date | 2010-04-09 |
Last Update Date | 2015-03-11 |
Authorized Official Name | STEPHEN CLARKE (VP BUSINESS DEVELOPMENT) |
Authorized Official Telephone | 4434816476 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DC | BCBS | X364 | 01 |
MD | BCBS | CHD0AA | 01 |
MD | 407175124 | 05 | |
MD | 407175129 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740789650 | Anne Arundel Physician's Group, LLC | Obstetrics & Gynecology | 100 Bramble St Ste E&f, Cambridge, MD 21613-2471 | 2018-02-06 |
Street Address |
4175 N HANSON CT STE 201 |
City | BOWIE |
State | MD |
Zip Code | 20716-3179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942290978 | Andrew S. Dobin | Internal Medicine | 4175 N Hanson Ct, 203a, Bowie, MD 20716-3179 | 2005-10-21 |
1639655913 | Anne Arundel Physician Group, LLC | Midwife | 4175 N Hanson Ct, Bowie, MD 20716 | 2018-07-19 |
1518451731 | Quinn Patterson | Occupational Therapist | 4175 N Hanson Ct, Bowie, MD 20716-3179 | 2018-06-20 |
1366988925 | Anne Arundel Physician Group, LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2017-01-06 |
1811431703 | Hillgate LLC | Clinic/Center | 4175 N Hanson Ct, 300, Bowie, MD 20716-3179 | 2016-12-12 |
1750769055 | Aamg Physical Therapy, LLC | Occupational Therapist | 4175 N Hanson Ct, Suite 301, Bowie, MD 20716-3179 | 2015-05-07 |
1104225135 | Tia Mccray | Nurse Practitioner | 4175 N Hanson Ct, 209, Bowie, MD 20716-3179 | 2014-08-14 |
1851710552 | Anne Arundel Physician Group LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2014-04-09 |
1578829354 | Annapolis Allergy & Asthma LLC | Allergy & Immunology | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2012-04-06 |
1851677181 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 4175 N Hanson Ct, Suite 209, Bowie, MD 20716-3179 | 2011-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
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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 |
---|---|---|---|---|
1821355355 | Janelle Taylor-thomas | Obstetrics & Gynecology | 4175 N Hanson Ct Ste 209, Department of Obstetrics and Gynecology, Bowie, MD 20716-3184 | 2012-04-22 |
1013161421 | Jeanette Easton Akhter | Obstetrics & Gynecology | 12505 Madeley Ln, Bowie, MD 20715-2931 | 2008-11-12 |
1306864574 | Kim B Glover | Obstetrics & Gynecology | 12341 Quilt Patch Ln, Bowie, MD 20720-4358 | 2006-07-17 |
1851677181 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 4175 N Hanson Ct, Suite 209, Bowie, MD 20716-3179 | 2011-11-01 |
1760618987 | Non-invasive Cosmetics Ltd | Obstetrics & Gynecology | 14300 Gallant Fox Ln, Suite 203, Bowie, MD 20715-4003 | 2009-06-02 |
1083868764 | Sami Marc Mufarrij | Obstetrics & Gynecology | 4000 Mitchellville Rd, Bowie, MD 20716-3104 | 2008-11-07 |
1184883803 | Julita Andrea Lett | Obstetrics & Gynecology | 4175 N Hanson Ct, Suite 209, Bowie, MD 20716-3179 | 2008-06-06 |
1194925982 | Anne Arundel Physician Group LLC | Obstetrics & Gynecology | 4000 Mitchellville Rd, Suite 208, Bowie, MD 20716-3104 | 2007-07-20 |
1427120922 | Debra V Whitehurst Brown | Obstetrics & Gynecology | 4175 N Hanson Ct, #209, Bowie, MD 20716-3179 | 2006-11-14 |
1184794638 | Chasheryl L Leslie | Obstetrics & Gynecology | 4175 N Hanson Ct, #304, Bowie, MD 20716 | 2006-11-09 |
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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.