PREMIER OB/GYN – NPI #1306197132
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

PREMIER OB/GYN is a provider located in ANNAPOLIS, MD. NPPES has assigned the NPI number 1306197132 to PREMIER OB/GYN on September 19, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PREMIER OB/GYN” is a dba name, the actual legal business name for this organization is LUMINIS HEALTH MEDICAL GROUP, LLC. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 5 years ago on May 24, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMIER OB/GYN below.

NPI Profile for
LUMINIS HEALTH MEDICAL GROUP, LLC

NPI Number
1306197132
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LUMINIS HEALTH MEDICAL GROUP, LLC
Doing Business As (dba): PREMIER OB/GYN
Primary location
2000 MEDICAL PKWY STE 309
ANNAPOLIS, MD 21401-3745
Phone: (301) 352-4007 Fax:
Mailing address
PO BOX 12622
BELFAST, ME 04915-4017
Phone: (443) 481-6467 Fax: (443) 481-6515
Organization Subpart
No
Authorized Official
JEANNETTE WOOD
EXEC. DIR. PHYSICIAN REIMBURSEMENT
Phone: (443) 481-6476
Updated
Certification Date
May 24, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.