ANNE ARUNDEL MICROVASCULAR SURGERY – NPI #1134416688
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

ANNE ARUNDEL MICROVASCULAR SURGERY is a surgeon located in ANNAPOLIS, MD. NPPES has assigned the NPI number 1134416688 to ANNE ARUNDEL MICROVASCULAR SURGERY on July 06, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ANNE ARUNDEL MICROVASCULAR SURGERY” 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 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

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 ANNE ARUNDEL MICROVASCULAR SURGERY below.

NPI Profile for
LUMINIS HEALTH MEDICAL GROUP, LLC

NPI Number
1134416688
Enumeration Date

(about 15 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): ANNE ARUNDEL MICROVASCULAR SURGERY
Primary location
2000 MEDICAL PKWY
SUITE 200
ANNAPOLIS, MD 21401-3742
Phone: (443) 481-3400 Fax: (443) 481-3315
Mailing address
PO BOX 12622
BELFAST, ME 04915-4017
Phone: (443) 481-6573 Fax: (443) 481-6515
Organization Subpart
No
Authorized Official
STEVEN CLARKE
VP
Phone: (443) 481-6464
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.

Identifiers

Identifiers for ANNE ARUNDEL MICROVASCULAR SURGERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSDCY362
OTHERBCBSMDCDD6AN
MEDICAIDMD407175132
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (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.