ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1578197158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578197158 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Other Organization Name | DCP PRIMARY CARE |
| Practice Address |
13900 Baltimore Ave Laurel MD 20707-5009 |
| Mailing Address |
2001 Medical Pkwy Annapolis MD 21401-3773 |
| Practice Telephone | 3017255652 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | MARISSA ROSANIO (SENIOR MANAGER) |
| Authorized Official Telephone | 4434814150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DCMC Diabetes Education Center | Doing Business As Name - Organization |
| DCP Endocrinology | Doing Business As Name - Organization |
| DCP Primary Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6400 Marlboro Pike, District Heights, MD 207472841 | 3017367000 | |
| 5859 Allentown Way, Temple Hills, MD 207482613 | 2405631026 | |
| 4000 Mitchellville Rd Ste B216, Bowie, MD 207163145 | 3012620020 | |
| 6502 Kenilworth Ave Ste 100, Riverdale Park, MD 207371372 | 3019270088 | |
| 8116 Good Luck Rd Ste 10, Lanham, MD 207063502 | 2402417474 | |
| 2191 Defense Hwy Ste 201, Crofton, MD 211142469 | 4104519091 | |
| 4000 Mitchellville Rd Ste 422, Bowie, MD 207163104 | 3012629872 | |
| 8116 Good Luck Rd Ste 210, Lanham, MD 207063508 | 2409654413 | |
| 8100 Good Luck Rd Ste 500, Lanham, MD 207063500 | 2402417474 |
| 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 |
13900 BALTIMORE AVE |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548217623 | Laurel Lakes Primary Care, LLC | Family Medicine | 13900 Baltimore Ave, Laurel, MD 20707-5046 | 2006-05-27 |
| 1396056297 | Madhavi Ambati | Family Medicine | 13900 Baltimore Ave, Laurel, MD 20707-5009 | 2010-06-24 |
| 1780846758 | Claudia P. Dumfeh | Internal Medicine | 13900 Baltimore Ave, Laurel, MD 20707-5009 | 2008-06-30 |
| 1255548988 | Puneet Chopra | Emergency Medicine | 13900 Baltimore Ave, Laurel, MD 20707-5009 | 2007-05-16 |
| 1003969536 | Aruna Paspula | Internal Medicine | 13900 Baltimore Ave, Laurel, MD 20707 | 2007-01-19 |
| 1093740326 | Mirza H Baig | Family Medicine | 13900 Baltimore Ave, Laurel, MD 20707-5046 | 2006-07-12 |
| 1710925748 | Mahmoud H Doski | Internal Medicine | 13900 Baltimore Ave, Laurel, MD 20707 | 2006-06-03 |
| 1609814672 | Sufia Syed | Internal Medicine | 13900 Baltimore Ave, Laurel, MD 20707 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1003203134 | Erica Nakajima | Internal Medicine | 323 Laurel Ave, Laurel, MD 20707-4319 | 2015-04-15 |
| 1124457726 | Mid-atlantic Medical | Internal Medicine | 9248 Stream View Ln, Laurel, MD 20723-1890 | 2013-11-04 |
| 1881966851 | Solomon Feyissa LLC | Internal Medicine | 14740 4th St, Apt 415, Laurel, MD 20707-3718 | 2012-02-06 |
| 1942468152 | Ratnakanth Mohanrao Siddabattula | Internal Medicine | 13504 Attleboro Ct, Apt # 21, Laurel, MD 20708-1557 | 2008-05-26 |
| 1255511655 | Rita Pabla Md | Internal Medicine | 13621 Baltimore Ave, Laurel, MD 20707-5095 | 2007-11-14 |
| 1477640696 | Laurel Medical Group, LLC | Internal Medicine | 1124 S Central Ave, Laurel, DE 19956-1418 | 2006-10-09 |
| 1740390012 | Syed Akbar Ali Sadiq | Internal Medicine | 14333 Laurel Bowie Road, Suite 208, Laurel, MD 20708-1179 | 2006-08-30 |
| 1215960703 | Abdul Munim | Internal Medicine | 8379 Cherry Ln, Laurel, MD 20707-4831 | 2006-07-08 |
| 1699722009 | Prema Siva | Internal Medicine | 8871 Gorman Rd Ste 300, Laurel, MD 20723-5877 | 2006-05-30 |
| 1497702302 | David L Harrison | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-05-27 |
| Find all providers in LAUREL | ||||
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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.