LUMIRI SURGICAL LLC (NPI# 1922635531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922635531 |
| Entity Type | Organization |
| Organization Name | LUMIRI SURGICAL LLC |
| Practice Address |
8116 Good Luck Rd Ste 215 Lanham MD 20706-3508 |
| Mailing Address |
10325 Kensington Pkwy Unit 432 Kensington MD 20895-7519 |
| Practice Telephone | 2402410420 |
| Practice Fax Number | 8622980732 |
| Mailing Telephone | 2402410420 |
| Mailing Fax Number | 8622980732 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-08-09 |
| Authorized Official Name | DR. TIFFANY ANN PIERCE SCHATZ (MANAGER) |
| Authorized Official Telephone | 2402410420 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5550 Friendship Blvd Ste 360, Chevy Chase, MD 208157256 | 2402410420 |
| Street Address |
8116 GOOD LUCK RD STE 215 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-3508 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730466640 | Udai S. Kammula | Surgery | 6514 Democracy Blvd, Bethesda, MD 20817-1679 | 2011-11-05 |
| 1093962581 | Udo Rudloff | Surgery | Center for Cancer Research Ccr Nci Nih, Hatfield Center, Room 4-5940, 10 Center Drive, Bethesda, MD 20892-0001 | 2008-08-26 |
| 1912105495 | Cherif Boutros | Surgery | 305 Hospital Drive, Tate Center, Glen Burnie, MD 21061 | 2007-07-06 |
| 1972721009 | John Milburn Jessup | Surgery | 8012 Coach St, Potomac, MD 20854-3809 | 2007-04-23 |
| 1750389870 | Mukund S. Didolkar | Surgery | 2435 W Belvedere Ave, Suite 46, Baltimore, MD 21215-5224 | 2005-07-12 |
| 1851710552 | Anne Arundel Physician Group LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2014-04-09 |
| 1205199874 | Richard Birkett | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-06-19 |
| 1730457102 | Francesco Maria Marincola | Surgery | 9000 Rockville Pike, Bethesda, MD 20892-0001 | 2011-12-13 |
| 1073880183 | Sinai Hospital of Baltimore, Inc | Surgery | 2401 W Belvedere Ave, Lapidus Cancer Institute, Baltimore, MD 21215-5216 | 2011-11-18 |
| 1346539566 | Yinin Hu | Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201-7003 | 2011-03-29 |
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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.