ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1639655913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639655913 |
Entity Type | Organization |
Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
Other Organization Name | PREMIER OB/GYN |
Practice Address |
4175 N Hanson Ct Bowie MD 20716 |
Mailing Address |
201 Defense Hwy Ste 150 Annapolis MD 21401-8953 |
Practice Telephone | 3013524007 |
Practice Fax Number | 3013523316 |
Mailing Telephone | 1443481531 |
Mailing Fax Number | 4434816515 |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |
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 | 176B00000X | Midwife | MD | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CAREFIRST | Y88800 | 01 |
Other Name | Type Code |
---|---|
Premier Ob/Gyn | 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 |
4175 N HANSON CT |
City | BOWIE |
State | MD |
Zip Code | 20716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942290978 | Andrew S. Dobin | Internal Medicine | 4175 N Hanson Ct, 203a, Bowie, MD 20716-3179 | 2005-10-21 |
1518451731 | Quinn Patterson | Occupational Therapist | 4175 N Hanson Ct, Bowie, MD 20716-3179 | 2018-06-20 |
1366988925 | Anne Arundel Physician Group, LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2017-01-06 |
1811431703 | Hillgate LLC | Clinic/Center | 4175 N Hanson Ct, 300, Bowie, MD 20716-3179 | 2016-12-12 |
1750769055 | Aamg Physical Therapy, LLC | Occupational Therapist | 4175 N Hanson Ct, Suite 301, Bowie, MD 20716-3179 | 2015-05-07 |
1104225135 | Tia Mccray | Nurse Practitioner | 4175 N Hanson Ct, 209, Bowie, MD 20716-3179 | 2014-08-14 |
1851710552 | Anne Arundel Physician Group LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2014-04-09 |
1578829354 | Annapolis Allergy & Asthma LLC | Allergy & Immunology | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2012-04-06 |
1851677181 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 4175 N Hanson Ct, Suite 209, Bowie, MD 20716-3179 | 2011-11-01 |
1760789184 | Cardiology Associate, LLC | Specialist | 4175 N Hanson Ct, Suite 100, Bowie, MD 20716-3179 | 2011-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
Find all providers in zip 20716 |
Taxonomy Code | 176B00000X |
Grouping | Other Service Providers |
Classification | Midwife |
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083191530 | Anne Arundel Physician Group, LLC | Midwife | 4175 N Hanson Ct Ste 201, Bowie, MD 20716-3181 | 2018-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225668551 | Katrina Kyoko Nakao | Midwife | 8500 New Hampshire Ave Apt 326, Silver Spring, MD 20903-3316 | 2020-01-26 |
1326698861 | Jennifer Nicole Glorioso | Midwife | 7556 Teague Rd Ste 430, Hanover, MD 21076-1968 | 2019-09-17 |
1770145203 | Maryland State Doulas | Midwife | 2304 Putnam Ln, Crofton, MD 21114-1646 | 2019-07-04 |
1679013247 | Amy Elizabeth Miller | Midwife | 37 W Baltimore St, Funkstown, MD 21734-0493 | 2017-03-02 |
1538524269 | Deanna Kopf | Midwife | 3425 Hampstead Mexico Rd, Hampstead, MD 21074-1502 | 2015-12-23 |
1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
1891118899 | Shiphrah Birthing Services | Midwife | 617 Stemmers Run Rd Ste E, Essex, MD 21221 | 2014-01-27 |
1326305277 | Elizabeth Sarah Kaufman Reiner | Midwife | 4705 Ford Fields Rd, Myersville, MD 21773-8741 | 2012-04-17 |
1174827992 | Dianne K Sellers | Midwife | 416 Maryland Ave, Essex, MD 21221-6705 | 2011-01-08 |
1891009916 | Alexa Rose Richardson | Midwife | 2614 N Calvert St, Baltimore, MD 21218-4616 | 2010-07-30 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ANNE ARUNDEL PHYSICIAN GROUP, LLC.
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.