ANNE ARUNDEL PHYSICIAN GROUP LLC (NPI# 1831341981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831341981 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Other Organization Name | ANNE ARUNDEL HEMATOLOGY ONCOLOGY SPECIALISTS |
| Practice Address |
2003 Medical Pkwy Suite 301 Annapolis MD 21401-7992 |
| Mailing Address |
Po Box 62312 Baltimore MD 21264-0001 |
| Practice Telephone | 4434811000 |
| Practice Fax Number | 4434816515 |
| Mailing Telephone | 4434816476 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2011-06-27 |
| Authorized Official Name | STEPHEN L CLARKE (VICE PRESIDENT) |
| Authorized Official Telephone | 4434816476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 407175123 | 05 |
| Other Name | Type Code |
|---|---|
| Anne Arundel Hematology Oncology Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093342438 | Anne Arundel Physician Group LLC | Internal Medicine | 2003 Medical Pkwy Ste 350, Annapolis, MD 21401-3081 | 2020-03-25 |
| 1558732776 | Anne Arundel Physician Group LLC | Psychiatric Unit | 175 Harry S Truman Pkwy, Annapolis, MD 21401-7573 | 2015-10-14 |
| 1548595978 | Anne Arundel Physician Group LLC | Internal Medicine | 1106 Annapolis Rd Ste 210, Odenton, MD 21113-1740 | 2009-10-02 |
| 1588682389 | Anne Arundel Physician Group LLC | Internal Medicine | 2009 Tidewater Colony, Suite 2a, Annapolis, MD 21401 | 2006-07-18 |
| 1831640465 | Anne Arundel Physician Group LLC | Dietitian, Registered | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2016-10-19 |
| 1811353733 | Anne Arundel Physician Group LLC | Advanced Practice Midwife | 401 Purdy St, Suite 102, Easton, MD 21601-4060 | 2016-01-07 |
| 1407227598 | Anne Arundel Physician Group LLC | Advanced Practice Midwife | 401 Purdy St, Suite 102, Easton, MD 21601-4060 | 2015-10-14 |
| 1851710552 | Anne Arundel Physician Group LLC | Surgery | 4175 N Hanson Ct, Suite 201, Bowie, MD 20716-3179 | 2014-04-09 |
| 1063837490 | Anne Arundel Physician Group LLC | Family Medicine | 8109 Ritchie Hwy, Suite 100, Pasadena, MD 21122-6917 | 2014-02-21 |
| 1871920702 | Anne Arundel Physician Group LLC | Family Medicine | 555 Cynwood Dr, Easton, MD 21601-3801 | 2013-10-10 |
| Street Address |
2003 MEDICAL PKWY SUITE 301 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383089 | Christy L. Crowther | Nurse Practitioner | 2003 Medical Pkwy, Suite 400, Annapolis, MD 21401-7992 | 2005-05-31 |
| 1366056715 | Jamie Marie Morrison | Nurse Practitioner | 2003 Medical Pkwy, Annapolis, MD 21401-7992 | 2020-09-03 |
| 1598204372 | Katherine Hill | Nurse Practitioner | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-7992 | 2017-02-14 |
| 1275072001 | Women's Center for Pelvic Health | General Acute Care Hospital | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-7992 | 2017-02-13 |
| 1033654538 | Diana Abell | Licensed Practical Nurse | 2003 Medical Pkwy, Suite G50, Annapolis, MD 21401-7992 | 2016-12-20 |
| 1437605474 | Womens Center for Pelvic Health | Nurse Practitioner | 2003 Medical Pkwy, Wayson Pavillion, Suite 150, Annapolis, MD 21401-7992 | 2016-08-30 |
| 1457706897 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 2003 Medical Pkwy, Suite 400, Annapolis, MD 21401 | 2016-05-03 |
| 1154719391 | Anne Arundel Physician Group, LLC | Clinic/Center | 2003 Medical Pkwy, Suite G50, Annapolis, MD 21401-7992 | 2014-12-22 |
| 1356750996 | Mary Mayzel | Advanced Practice Midwife | 2003 Medical Pkwy, Suite G50, Annapolis, MD 21401-7992 | 2014-08-07 |
| 1447669197 | Katherine Anita Smollon | Nurse Practitioner | 2003 Medical Pkwy, Wayson Pavillion, Suite 150, Annapolis, MD 21401-7992 | 2014-08-07 |
| Find all providers in the same location | ||||
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417463951 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
| 1477694420 | Benjamin B Bridges | Internal Medicine | 2003 Medical Pkwy Ste 210, Annapolis, MD 21401-3093 | 2007-02-11 |
| 1538173760 | G Peter Pushkas | Internal Medicine | 1012 Sandpiper Ln, Annapolis, MD 21403-4633 | 2006-07-27 |
| 1386671899 | Annapolis Medical Specialists | Internal Medicine | 900 Bestgate Rd, Suite 300, Annapolis, MD 21401-3089 | 2006-06-28 |
| 1457868721 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2018-01-08 |
| 1659887198 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
| 1912292517 | Adam Jordan Goldrich | Internal Medicine | 2003 Medical Pkwy Ste 210, Annapolis, MD 21401 | 2011-06-13 |
| 1770775876 | G Peter Pushkas M D, P C | Internal Medicine | 1012 Sandpiper Ln, Annapolis, MD 21403-4633 | 2007-08-13 |
| 1043385180 | Ravin Jain Garg | Internal Medicine | 2003 Medical Parkway, Suite 210, Annapolis, MD 21401-3093 | 2006-11-22 |
| 1366473118 | Jeanine L Werner | Internal Medicine | 2003 Medical Pkwy, Suite 210, Annapolis, MD 21401-7992 | 2006-07-06 |
| Find all providers in ANNAPOLIS | ||||
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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.