ANNE ARUNDEL PHYSICIAN GROUP LLC (NPI# 1952564528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952564528 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| Other Organization Name | CENTREVILLE FAMILY MEDICINE |
| Practice Address |
202 Coursevall Dr Centreville MD 21617-2804 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4107583303 |
| Practice Fax Number | 4107583310 |
| Mailing Telephone | 4434816572 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-11-29 |
| Authorized Official Name | STEPHEN L CLARKE (VP BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 4434816476 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D35048 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 407175117 | 05 |
| Other Name | Type Code |
|---|---|
| Centreville Family Medicine | 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 |
202 COURSEVALL DR |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851391288 | John Laferla | Obstetrics & Gynecology | 202 Coursevall Dr, Suite 107, Centreville, MD 21617-2804 | 2005-07-28 |
| 1699206508 | Bayside Physical Therapy & Sports Rehabilitation Limited Partnership | Physical Therapist | 202 Coursevall Dr, Suite 111 & 112, Centreville, MD 21617-2804 | 2017-03-22 |
| 1285179408 | Rebekah Burgess Weymes | Social Worker | 202 Coursevall Dr, Suite 101, Centreville, MD 21617-2804 | 2016-12-23 |
| 1144451584 | Timothy Craig Romanoski | Family Medicine | 202 Coursevall Dr, Suite 101, Centreville, MD 21617-2804 | 2009-08-03 |
| 1104072479 | John J Laferla, Md Pa | Obstetrics & Gynecology | 202 Coursevall Dr, Suite 107, Centreville, MD 21617-2804 | 2008-08-18 |
| 1447224803 | Heidi Jo Paulson | Physical Therapist | 202 Coursevall Dr, Centreville, MD 21617-2804 | 2006-02-14 |
| 1730180027 | Margaret Decker Malaro | Family Medicine | 202 Coursevall Dr, Centreville, MD 21617-2804 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381299 | Chelsea Burnett | Family Medicine | 208 Pierson Ave # 2918, Centreville, AL 35042-2918 | 2019-11-26 |
| 1972828903 | Corey Andrew Mayer | Family Medicine | 405 Belcher Street, Centreville, AL 35042-2946 | 2010-04-01 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| 1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
| 1437243391 | Lutfunnessa Parveen Shafi | Family Medicine | 6201 Centreville Rd Ste 200, Centreville, VA 20121-2626 | 2006-10-03 |
| 1518079243 | Heather L Lucas-foster | Family Medicine | 6010 Bond Ave, Centreville, IL 62207-2328 | 2006-08-31 |
| 1962422337 | John Bryan Waits | Family Medicine | 405 Belcher St, Centreville, AL 35042-2946 | 2006-07-20 |
| 1205862380 | Donald Richard Rhodes | Family Medicine | 5715 Centre Square Dr, Centreville, VA 20120-1916 | 2006-06-23 |
| 1386606085 | Eric F Ciganek | Family Medicine | 629 Railroad Ave, Centreville, MD 21617-1144 | 2006-04-06 |
| 1861488074 | Su Fairchild | Family Medicine | 6138 Redwood Square Ctr Ste 204, Centreville, VA 20121-4264 | 2005-09-22 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
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.