Luminis Health Medical Group, Llc
LBN: Luminis Health Medical Group, Llc
Luminis Health Medical Group, Llc is an health care organization with primary practice located at 4175 N Hanson Ct Ste 201, Bowie MD 20716-3179. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty.
Luminis Health Medical Group, Llc can be contacted via phone (443) 481-1199, or through Odenwald, Peter via phone (443) 481-6415.
Contact Information
Primary practice address
4175 N Hanson Ct Ste 201
Bowie MD 20716-3179
Phone: (443) 481-1199
Fax: (443) 481-1495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X |
Profile Details
| NPI number | 1720304223 |
|---|---|
| LBN Legal business name | Luminis Health Medical Group, Llc |
| DBA Doing business as | |
| Authorized official | Odenwald, Peter |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2010 |
| Last updated | May 24th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720304223 | NPPES |
| Maryland | MEDICAID | 407175124 | |
| Maryland | Other | CHD0AA | |
| Maryland | MEDICAID | 407175129 | |
| Maryland | Other | X364 |
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