ANNE ARUNDEL PHYSICIAN GROUP LLC (NPI# 1831640465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831640465 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Other Organization Name | AAMG DIABETES & ENDOCRINE SPECIALISTS |
| 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 | 4434816476 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | STEPHEN CLARKE (VICE PRESIDENT) |
| Authorized Official Telephone | 4434816476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | D02332 | MD | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| AAMG Diabetes & Endocrine Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093342438 | Anne Arundel Physician Group LLC | Internal Medicine | 2003 Medical Pkwy Ste 350, Annapolis, MD 21401-3081 | 2020-03-25 |
| 1558732776 | Anne Arundel Physician Group LLC | Psychiatric Unit | 175 Harry S Truman Pkwy, Annapolis, MD 21401-7573 | 2015-10-14 |
| 1548595978 | Anne Arundel Physician Group LLC | Internal Medicine | 1106 Annapolis Rd Ste 210, Odenton, MD 21113-1740 | 2009-10-02 |
| 1588682389 | Anne Arundel Physician Group LLC | Internal Medicine | 2009 Tidewater Colony, Suite 2a, Annapolis, MD 21401 | 2006-07-18 |
| 1811353733 | Anne Arundel Physician Group LLC | Advanced Practice Midwife | 401 Purdy St, Suite 102, Easton, MD 21601-4060 | 2016-01-07 |
| 1407227598 | Anne Arundel Physician Group LLC | Advanced Practice Midwife | 401 Purdy St, Suite 102, Easton, MD 21601-4060 | 2015-10-14 |
| 1851710552 | Anne Arundel Physician Group LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2014-04-09 |
| 1063837490 | Anne Arundel Physician Group LLC | Family Medicine | 8109 Ritchie Hwy, Suite 100, Pasadena, MD 21122-6917 | 2014-02-21 |
| 1871920702 | Anne Arundel Physician Group LLC | Family Medicine | 555 Cynwood Dr, Easton, MD 21601-3801 | 2013-10-10 |
| 1891130209 | Anne Arundel Physician Group LLC | Internal Medicine | 888 Bestgate Rd, Suite 208, Annapolis, MD 21401-3091 | 2013-04-30 |
| Street Address |
1450 MERCANTILE LN SUITE 111 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5376 |
| 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 |
| 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 |
| 1316372931 | Anne Arundel Physician Group, LLC | Internal Medicine | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2013-09-13 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508344433 | Laurel Ann Deininger | Dietitian, Registered | 7880 Oliver Rd, Largo, FL 33777-3009 | 2018-08-02 |
| 1841716735 | Curious Mind Nutrition | Dietitian, Registered | 801 W Bay Dr Ste 427, Largo, FL 33770-3223 | 2017-08-22 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1982858098 | Lonna Forss | Dietitian, Registered | 822 Beverly Ave, Largo, FL 33770-1017 | 2008-11-17 |
| 1194980300 | Jennifer Ansio Headley-bunns | Dietitian, Registered | 411 Kettering Dr, Largo, MD 20774-1522 | 2008-07-28 |
| 1740308329 | Susan Louise Campbell | Dietitian, Registered | 6900 Ulmerton Rd, #51, Largo, FL 33771-4948 | 2007-03-26 |
| 1316462880 | William Savage | Dietitian, Registered | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2017-08-07 |
| 1710402292 | Bill The Dietitian Pllc | Dietitian, Registered | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2017-08-07 |
| 1154576932 | Mary Kathleen Mcfalls | Dietitian, Registered | 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774-5374 | 2008-11-20 |
| 1255482675 | Patricia Hearing Backer | Dietitian, Registered | 499 Alternate Keene Rd, Largo, FL 33771-1652 | 2007-01-13 |
| Find all providers in LARGO | ||||
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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.