Luminis Health Community Clinics, Llc | |
1419 Forest Dr Ste 100 Annapolis MD 21403-1440 | |
(410) 990-0050 | |
(410) 990-0336 |
Full Name | Luminis Health Community Clinics, Llc |
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Speciality | Family Medicine |
Location | 1419 Forest Dr Ste 100, Annapolis, Maryland |
Authorized Official Name and Position | Melissa Rapattoni (AO) |
Authorized Official Contact | 4434815136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Luminis Health Community Clinics, Llc 2000 Medical Pkwy Ste 409 Annapolis MD 21401-3746 Ph: (434) 815-1364 | Luminis Health Community Clinics, Llc 1419 Forest Dr Ste 100 Annapolis MD 21403-1440 Ph: (410) 990-0050 |
NPI Number | 1073950671 |
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Provider Enumeration Date | 05/23/2013 |
Last Update Date | 10/15/2024 |
Medicare PECOS PAC ID | 0345475851 |
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Medicare Enrollment ID | O20131108000006 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073950671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robert S Eden |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902806409 PECOS PAC ID: 2365497823 Enrollment ID: I20050317000200 |
Provider Name | Bridgitte C Gourley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689646218 PECOS PAC ID: 6103820303 Enrollment ID: I20060830000421 |
Provider Name | Errol A. Phillip |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831198829 PECOS PAC ID: 8921002155 Enrollment ID: I20060831000104 |
Provider Name | Kari F Alperovitz-bichell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235179672 PECOS PAC ID: 1658468251 Enrollment ID: I20071029000749 |
Provider Name | Dana Bridges |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679545412 PECOS PAC ID: 6608952825 Enrollment ID: I20080327000403 |
Provider Name | Coryse V Brathwaite |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881641116 PECOS PAC ID: 3173681624 Enrollment ID: I20081028000119 |
Provider Name | William S Sykora |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942284401 PECOS PAC ID: 0547309940 Enrollment ID: I20091124000450 |
Provider Name | Claudia O Arumala |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275710816 PECOS PAC ID: 9638218639 Enrollment ID: I20091204000306 |
Provider Name | Mark G Garzon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710100474 PECOS PAC ID: 5496887283 Enrollment ID: I20100830000816 |
Provider Name | Eman H Al-samrrai |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093828501 PECOS PAC ID: 2860448073 Enrollment ID: I20111213000436 |
Provider Name | Jo Ellen Condon |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1538216932 PECOS PAC ID: 6800057951 Enrollment ID: I20120417000262 |
Provider Name | Teresa Neprud |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386636603 PECOS PAC ID: 0042476509 Enrollment ID: I20120727000272 |
Provider Name | Marlys S Mcdevitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578628202 PECOS PAC ID: 7810888047 Enrollment ID: I20151109001137 |
Provider Name | Annie K Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356787550 PECOS PAC ID: 3072813963 Enrollment ID: I20161019002487 |
Provider Name | Virginia Kay Mirenzi |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1568937191 PECOS PAC ID: 9335492636 Enrollment ID: I20181211001195 |
Provider Name | Ernestina Del Rosario Atkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801371703 PECOS PAC ID: 4385073238 Enrollment ID: I20200330000072 |
Provider Name | Leah Harford Braun |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851687586 PECOS PAC ID: 1254572365 Enrollment ID: I20210629000890 |
Provider Name | Grace Efunbajo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942827258 PECOS PAC ID: 4486060498 Enrollment ID: I20220627001358 |
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