ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1558865287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558865287 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Other Organization Name | AAMG GYNECOLOGIC SPECIALTY SURGEONS |
| Practice Address |
2000 Medical Pkwy Ste 200 Annapolis MD 21401-3744 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4434813493 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | JEANNETTE WOOD (REIMBURSEMENT ADMINISTRATOR) |
| Authorized Official Telephone | 4434816521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AAMG Gynecologic Cancer Prevention and Control Specialists | Doing Business As Name - Organization |
| AAMG Gynecologic Specialty Surgeons | 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 |
2000 MEDICAL PKWY STE 200 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083693188 | Monica B Jones | Obstetrics & Gynecology | 2000 Medical Pkwy Ste 200, Annapolis, MD 21401-3744 | 2006-01-17 |
| 1932645355 | Anne Arundel Physician Group, LLC | Internal Medicine | 2000 Medical Pkwy Ste 200, Annapolis, MD 21401-3744 | 2017-01-09 |
| 1083017305 | Kathryn Baker | Physician Assistant | 2000 Medical Pkwy Ste 200, Annapolis, MD 21401 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1396751921 | Paul Mackoul Md | Obstetrics & Gynecology | 129 Lubrano Drive, Suite 101, Annapolis, MD 21401-7566 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467833756 | Lucis Consulting LLC | Obstetrics & Gynecology | 805 Jennings Mill Dr, Bowie, MD 20721-6214 | 2015-06-12 |
| 1912176512 | Margaret Nadia Alexander | Obstetrics & Gynecology | 9100 Old Georgetown Rd, Bethesda, MD 20814-1617 | 2008-02-27 |
| 1861573131 | Russell R Hill | Obstetrics & Gynecology | 11804 Lisborough Road, Bowie, MD 20720 | 2006-10-17 |
| 1811908023 | Maria D Merzouk | Obstetrics & Gynecology | 11110 Medical Campus Rd Ste 249, Hagerstown, MD 21742-6756 | 2006-08-11 |
| 1669896163 | Northern Virginia Pelvic Surgery Associates | Obstetrics & Gynecology | 9905 Medical Center Dr, Suite 303, Rockville, MD 20850-6361 | 2014-02-05 |
| 1538502489 | Amanda Ramos | Obstetrics & Gynecology | Johns Hopkins Hospital, 600 N Wolfe Street, Phipps 249, Baltimore, MD 21287-0001 | 2013-04-10 |
| 1639329592 | Stephanie Wethington | Obstetrics & Gynecology | 600 North Wolfe Street, Phipps 281, Baltimore, MD 21287-0005 | 2008-09-26 |
| 1700046943 | Camille Catherine Gunderson | Obstetrics & Gynecology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2008-06-11 |
| 1871752329 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 10215 Fernwood Rd, Suite 300, Bethesda, MD 20817 | 2008-06-09 |
| 1770750598 | Amanda Nickles Fader | Obstetrics & Gynecology | 6569 N Charles St, Suite 306, Baltimore, MD 21204-6831 | 2008-05-12 |
| Find all providers with the same taxonomy | ||||
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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.