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EASTERN SHORE PRIMARY CARE
NPI 1831463298
Family Medicine in Chester, MD

Active since March 02, 2012
1630 MAIN ST, CHESTER, MD 21619(410) 643-4524(410) 643-4523 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Shore Primary Care NPPES

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

EASTERN SHORE PRIMARY CARE (NPI 1831463298) is a healthcare organization registered as a family medicine in Chester, Maryland and active in the NPI registry since March 2012. The organization lists Peter Odenwald, Vice President, as its authorized official.

NPPES Registry Identity

NPI1831463298
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC
Location Address1630 MAIN STChester, MD 21619-2791
Mailing AddressPo Box 12622Belfast, ME 04915-4017 · (443) 481-6576 · Fax (443) 481-6515
Phone(410) 643-4524
Fax(410) 643-4523
Organization SubpartNo
Authorized OfficialPeter OdenwaldVice President · (443) 481-6415
Enumeration DateMarch 2, 2012
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1831463298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1630 MAIN ST, Chester, MD 21619
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Other Names 1

Doing Business AsEastern Shore Primary Care

Other Identifiers 4

Other830799MD · Aetna Hmo
Other8580111MD · Aetna Ppo
OtherAB1100Carefirst
Medicaid4071751-37MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
LUMINIS HEALTH MEDICAL GROUP, LLC
Psychiatry & Neurology (Neurology)
1630 MAIN ST
CHESTER, MD 21619
Queen Anne's County (443) 481-1940
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

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 1831463298. It was assigned to this organization in the NPPES registry on March 2, 2012. The provider is doing business as Eastern Shore Primary Care.

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 (410) 643-4524.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Luminis Health Medical Group, LLC was last updated on May 24, 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.