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ANNE ARUNDEL MEDICAL GROUP - NEUROLOGY SPECIALISTS
NPI 1073902888
Psychiatry & Neurology - Neurology in Chester, MD

Active since January 16, 2015CLIA 21D1104306 · Waiver
1630 MAIN ST, CHESTER, MD 21619(443) 481-1940(443) 481-1941 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anne Arundel Medical Group - Neurology Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE ARUNDEL MEDICAL GROUP - NEUROLOGY SPECIALISTS (NPI 1073902888) is a healthcare organization registered as a neurology in Chester, Maryland and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Stephen Clarke, Vice President, as its authorized official.

NPPES Registry Identity

NPI1073902888
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC
Location Address1630 MAIN STChester, MD 21619-2791
Mailing AddressPo Box 12622Belfast, ME 04915-4017 · (443) 481-6467 · Fax (443) 481-6515
Phone(443) 481-1940
Fax(443) 481-1941
Organization SubpartNo
Authorized OfficialStephen ClarkeVice President · (443) 481-6476
Enumeration DateJanuary 16, 2015
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1073902888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1630 MAIN ST, Chester, MD 21619
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Other Names 1

Doing Business AsAnne Arundel Medical Group - Neurology Specialists

Other Identifiers 1

Medicaid124015300MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1104306

Anne Arundel Medical Group Annapolis Ob Gyn · Chester, MD
Active · expires Aug 30, 2027
CLIA Number21D1104306
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorMark Repka
Laboratory Phone(410) 573-9530
Laboratory LocationAnne Arundel Medical Group Annapolis Ob Gyn1630 Main Street Suite 211, Chester, MD 21619
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE MATTHEWS
Physical Therapy Assistant
1630 MAIN ST
CHESTER, MD 21619
Queen Anne's County (410) 604-6560
KENT ISLAND SURGERY CENTER LLC
Clinic/Center (Pain)
1630 MAIN ST, SUITE 215A
CHESTER, MD 21619
Queen Anne's County (410) 571-9000
MEDSTAR MEDICAL GROUP II LLC
General Practice
1630 MAIN ST
CHESTER, MD 21619
Queen Anne's County (703) 552-1403
MRS. NANCY BRANDENBURGER SLP-CCC
Speech-Language Pathologist
1630 MAIN ST, SUITE 110
CHESTER, MD 21619
Queen Anne's County (410) 604-2982
ROBYN N LANASA NP
Nurse Practitioner
1630 MAIN ST
CHESTER, MD 21619
Queen Anne's County (410) 604-6560
JOSIAH RYDSTEDT
Physical Therapy Assistant
1630 MAIN ST
CHESTER, MD 21619
Queen Anne's County (410) 604-6560
LUMINIS HEALTH MEDICAL GROUP, LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1630 MAIN ST, SUITE 213
CHESTER, MD 21619
Queen Anne's County (443) 481-3300
SARAH CALLANAN CRNP
Nurse Practitioner (Family)
1630 MAIN ST, SUITE 101
CHESTER, MD 21619
Queen Anne's County (410) 604-6560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luminis Health Medical Group, LLC's NPI number?

The NPI number for Luminis Health Medical Group, LLC is 1073902888. It was assigned to this organization in the NPPES registry on January 16, 2015. The provider is doing business as Anne Arundel Medical Group - Neurology Specialists.

Where is Luminis Health Medical Group, LLC located?

Luminis Health Medical Group, LLC is located at 1630 Main St, Chester, MD 21619. The listed phone number is (443) 481-1940.

What is Luminis Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Does Luminis Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1104306) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luminis Health Medical Group, LLC was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.