ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1093284853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093284853 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Practice Address |
105 Aurora St Cambridge MD 21613-1903 |
| Mailing Address |
2001 Medical Pkwy Medical Staff Office Annapolis MD 21401-3773 |
| Practice Telephone | 4108970822 |
| Practice Fax Number | 4108970095 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | JEANNETTE WOOD (EXEC DIRECT OF PHYS REIMBURSEMENT) |
| Authorized Official Telephone | 4434816521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE | 153989 | 01 |
| Other Name | Type Code |
|---|---|
| Anne Arundel Medical Group Cardiology 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 |
105 AURORA ST |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629065768 | Brendon Paltoo | Internal Medicine | 105 Aurora St, Cambridge, MD 21613-1903 | 2005-10-04 |
| 1790887370 | Davindra N Jailall | Family Medicine | 105 Aurora St, Cambridge, MD 21613-1903 | 2006-09-02 |
| 1073621975 | M.s. Shariff, M.d., P.a. | Internal Medicine | 105 Aurora St, Cambridge, MD 21613-1903 | 2006-08-29 |
| 1033106174 | Mahmood S Shariff | Internal Medicine | 105 Aurora St, Cambridge, MD 21613-1903 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790710218 | Satyanarayana M Mamidi | Internal Medicine | 1300 Clark St Unit 7, Cambridge, OH 43725-8875 | 2006-07-12 |
| 1225076508 | Theresa M Palabrica | Internal Medicine | 40 Landsdowne Street, Millenium Pharmaceuticals, Cambridge, MA 02139 | 2006-06-02 |
| 1528025657 | Ohio State University - Cambridge | Internal Medicine | 1432 Clark St, Cambridge, OH 43725-8745 | 2006-05-01 |
| 1770552648 | Lalit K Vadlamani | Internal Medicine | 1210 Clark St, Cambridge, OH 43725-9611 | 2006-03-14 |
| 1841268042 | Michael Thomas Chin | Internal Medicine | 65 Landsdowne St, Rm 277 Brigham and Womans Hospital Vascular Med Unit, Cambridge, MA 02139 | 2006-03-14 |
| 1922098474 | Godtfred Holmvang | Internal Medicine | 139 Main St, Boston Heart Foundation, Cambridge, MA 02142-1530 | 2005-10-26 |
| 1316937360 | Mohammed Saleem Ahmed | Internal Medicine | 1325 Clark St, Cambridge, OH 43725-9614 | 2005-10-21 |
| 1629065768 | Brendon Paltoo | Internal Medicine | 105 Aurora St, Cambridge, MD 21613-1903 | 2005-10-04 |
| 1730317413 | Cambridge Cardiovascular Ultrasound | Internal Medicine | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2009-07-01 |
| 1598903114 | Salim M Jabbour Md PC | Internal Medicine | 1493 Cambridge St, Cahill Bldg 2nd Floor, Cambridge, MA 02139-1047 | 2009-02-04 |
| Find all providers in CAMBRIDGE | ||||
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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.