ANNE ARUNDEL PHYSICIAN GROUP, LLC (NPI# 1982671103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982671103 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL PHYSICIAN GROUP, LLC |
| Other Organization Name | WAUGH CHAPEL FAMILY MEDICINE |
| Practice Address |
2401 Brandermill Blvd Suite 250 Gambrills MD 21054-1690 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4107211507 |
| Practice Fax Number | 4107211510 |
| Mailing Telephone | 4434816576 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2013-11-29 |
| Authorized Official Name | MR. STEPHEN L CLARKE (VP) |
| Authorized Official Telephone | 4434816464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 407175106 | 05 | |
| BCBS | 956BWA | 01 | |
| BCBS | K644 | 01 |
| Other Name | Type Code |
|---|---|
| Waugh Chapel Family Medicine | 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 |
2401 BRANDERMILL BLVD SUITE 250 |
| City | GAMBRILLS |
| State | MD |
| Zip Code | 21054-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508866336 | David Conrad Anderson | Family Medicine | 2401 Brandermill Blvd, Suite 360, Gambrills, MD 21054-1690 | 2005-07-22 |
| 1447617873 | Denise Carol Tyson | Acupuncturist | 2401 Brandermill Blvd, Ste 301, Gambrills, MD 21054-1604 | 2016-01-15 |
| 1720445158 | Advanced Integrative Health Group | Acupuncturist | 2401 Brandermill Blvd, Suite 301, Gambrills, MD 21054-1690 | 2016-01-14 |
| 1104234319 | Katina Byrd Miles, Md LLC | Dermatology | 2401 Brandermill Blvd, Suite 240, Gambrills, MD 21054 | 2014-07-31 |
| 1902236995 | Cindy Tran | Acupuncturist | 2401 Brandermill Blvd, Suite 301, Gambrills, MD 21054-1690 | 2013-11-12 |
| 1831448307 | Harcart Health Holdings LLC | Non-Pharmacy Dispensing Site | 2401 Brandermill Blvd, #100, Gambrills, MD 21054-1690 | 2012-08-30 |
| 1528322963 | Greta Janet Fuller | Acupuncturist | 2401 Brandermill Blvd, Suite 301, Gambrills, MD 21054-1604 | 2012-06-29 |
| 1497076814 | Michelle Marie Skinner | Family Medicine | 2401 Brandermill Blvd, Gambrills, MD 21054-1690 | 2010-06-21 |
| 1689904468 | Tobi Goldstein | Podiatrist | 2401 Brandermill Blvd, 340, Gambrills, MD 21054-1690 | 2009-12-30 |
| 1386885556 | The Asc At Waugh Chapel | Clinic/Center | 2401 Brandermill Blvd, # 340, Gambrills, MD 21054-1690 | 2009-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
| 1013515154 | Ls Creative Agency LLC | Durable Medical Equipment & Medical Supplies | 1153 Route 3 North, Suite 10, Gambrills, MD 21054 | 2020-10-12 |
| 1710510540 | Mijeong Joo-bunyard | Physical Therapist | 1153 Md-3n, Suite 35, Gambrills, MD 21054 | 2020-02-20 |
| 1144873043 | Sadia Cheema | Nurse Practitioner | 1071 Md-3 North, Suite 101, Gambrills, MD 21054 | 2019-07-19 |
| 1235699620 | Sara Fiore Schwartz | Nurse Practitioner | 1071 Md-3 Suite 101, Gambrills, MD 21054 | 2019-03-21 |
| 1447759246 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2401 Brandermill Boulevard Suite 350, Gambrills, MD 21054 | 2018-02-07 |
| 1821546391 | Aamg Physical Therapy, LLC | Speech-Language Pathologist | 1153 Route 3 N, Suite 35, Gambrills, MD 21054 | 2016-09-14 |
| 1780039818 | Drs Ergent Care, LLC | Clinic/Center | 1071 Route 3 N, Gambrills, MD 21054 | 2016-04-26 |
| 1871851212 | Sarsha Blackman | Dentist | 1166 Route 3 South, Suite 211, Gambrills, MD 21054 | 2012-04-23 |
| 1134485535 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1402 S. Main Chapel Way, Suite 114, Gambrills, MD 21054 | 2012-04-10 |
| Find all providers in zip 21054 | ||||
| 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 |
|---|---|---|---|---|
| 1770627705 | Kimberly Shannon Wallace | Family Medicine | 1438 Defense Hwy Suite 201, Gambrills, MD 21054 | 2007-02-15 |
| 1619924263 | Tara Thurlby Muscovich | Family Medicine | 1438 Defense Highway, Suite 201, Gambrills, MD 21054 | 2006-05-28 |
| 1508866336 | David Conrad Anderson | Family Medicine | 2401 Brandermill Blvd, Suite 360, Gambrills, MD 21054-1690 | 2005-07-22 |
| 1497076814 | Michelle Marie Skinner | Family Medicine | 2401 Brandermill Blvd, Gambrills, MD 21054-1690 | 2010-06-21 |
| 1548418825 | David Afzal | Family Medicine | 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054-1690 | 2008-08-29 |
| 1164450920 | Howard Kenneth Schultz Jr. | Family Medicine | 1438 Defense Highway, Suite 201, Gambrills, MD 21054 | 2006-06-29 |
| 1184664146 | Peter Su | Family Medicine | 1438 Defense Highway, Suite 201, Gambrills, MD 21054 | 2006-06-07 |
| 1497748800 | David G Freas | Family Medicine | 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054-1690 | 2005-08-31 |
| 1083607410 | Ian M Shantz | Family Medicine | 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054-1690 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| 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.