ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1073902888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073902888 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Other Organization Name | ANNE ARUNDEL MEDICAL GROUP - NEUROLOGY SPECIALISTS |
| Practice Address |
1630 Main St Chester MD 21619-2791 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4434811940 |
| Practice Fax Number | 4434811941 |
| Mailing Telephone | 4434816467 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-04-06 |
| 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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 124015300 | 05 |
| Other Name | Type Code |
|---|---|
| Anne Arundel Medical Group - 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 |
1630 MAIN ST |
| City | CHESTER |
| State | MD |
| Zip Code | 21619-2791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248691 | Cynthia W Huffaker | Internal Medicine | 1630 Main St, Suite 101, Chester, MD 21619-2791 | 2006-03-08 |
| 1093344244 | Robyn N Lanasa | Registered Nurse | 1630 Main St, Chester, MD 21619-2791 | 2020-04-08 |
| 1346710399 | Ashley Good | Physical Therapist | 1630 Main St, Chester, MD 21619 | 2018-12-03 |
| 1831573807 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 1630 Main St, Suite 108, Chester, MD 21619 | 2015-07-19 |
| 1033524855 | Kent Island Surgery Center LLC | Clinic/Center | 1630 Main St, Suite 215a, Chester, MD 21619-2791 | 2014-07-01 |
| 1780005249 | Anne Arundel Physician Group, LLC | Emergency Medicine | 1630 Main St, Chester, MD 21619-2791 | 2013-12-30 |
| 1134540693 | Anne Arundel Physician Group, LLC | Family Medicine | 1630 Main St, Chester, MD 21619-2791 | 2013-12-30 |
| 1831463298 | Anne Arundel Physician Group, LLC | Family Medicine | 1630 Main St, Chester, MD 21619-2791 | 2012-03-02 |
| 1487951802 | Cardiology Associates, LLC | Specialist | 1630 Main St, Suite 208, Chester, MD 21619-2791 | 2011-02-21 |
| 1942528591 | Anne Arundel Physician Group, LLC | Surgery | 1630 Main St, Chester, MD 21619-2791 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407359532 | Queen Anne's Medical Center, LLC | Internal Medicine | 2108 Rear Didonato Drive, Chester, MD 21619 | 2018-03-15 |
| 1700326410 | Erika Waynik | Nurse Practitioner | 115 South Piney Road, Minuteclinic, Chester, MD 21619 | 2017-02-28 |
| 1780923425 | Sabitri Baker | Specialist | 210 Country Day Rd, Chester, MD 21619 | 2013-01-31 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1225299837 | Kent Island Chiropractic and Rehabilitation | Clinic/Center | 1812 Main St., Suite C, Chester, MD 21619 | 2008-06-17 |
| 1407048283 | Brian Johnson Olmstead | Dentist | 1547 Rainbow Plaza, Chester, MD 21619 | 2007-08-15 |
| 1972721165 | John A Benkovich IIi | Dentist | 800 Abruzzi Drive Unit F, Chester, MD 21619 | 2007-04-23 |
| 1457400798 | James Charles Pochron | Dentist | 116 South Piney Rd #202, Chester, MD 21619 | 2007-01-09 |
| 1578628608 | Kent Drug Inc | Pharmacy | 1723 Main St, Chester, MD 21619 | 2006-12-27 |
| 1750304275 | Lisa Rene' Jackson-cherry | Counselor | 1114 Didinato Dr, Chester Regional Medical Center, Chester, MD 21619 | 2006-07-25 |
| Find all providers in zip 21619 | ||||
| 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 |
|---|---|---|---|---|
| 1811228711 | Bon Secours St. Francis Medical Center Inc | Psychiatry & Neurology | 11601 Iron Bridge Rd Ste 207, Chester, VA 23831-1468 | 2010-01-18 |
| 1154391571 | Stacey L Epps | Psychiatry & Neurology | 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 | 2006-01-26 |
| 1609876168 | David Howard Sirken | Psychiatry & Neurology | 1 Medical Center Blvd Ste 232, Chester, PA 19013-3902 | 2005-07-27 |
| 1306462122 | Bon Secours - Richmond Community Hospital, Incorporated | Psychiatry & Neurology | 11601 Iron Bridge Rd Ste 207, Chester, VA 23831-1468 | 2020-06-17 |
| 1013364520 | Prospect Health Access Network, Inc. | Psychiatry & Neurology | 1 Medical Center Blvd, Acp Ste 533, Chester, PA 19013-3902 | 2016-05-16 |
| 1821315631 | Arike Price | Psychiatry & Neurology | 1 Medical Center Blvd, Acp # 533, Chester, PA 19013-3902 | 2010-05-03 |
| 1497874622 | Health Access Network | Psychiatry & Neurology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2007-03-28 |
| 1114041902 | Emily Choi Decroos | Psychiatry & Neurology | 1 Medical Center Blvd, Acp # 533, Chester, PA 19013-3902 | 2007-03-18 |
| 1447312020 | Richard I Malamut | Psychiatry & Neurology | 1 Medical Center Blvd, Suite Acp #533, Chester, PA 19013-3902 | 2006-12-14 |
| 1740341569 | Norman A Leopold | Psychiatry & Neurology | 1 Medical Center Blvd, Suite 533, Chester, PA 19013-3902 | 2006-12-13 |
| Find all providers in CHESTER | ||||
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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.