WAUGH CHAPEL FAMILY MEDICINE
NPI 1982671103
Family Medicine in Gambrills, MD

NPI Status: Active since March 07, 2006

Contact Information

2401 BRANDERMILL BLVD
SUITE 250
GAMBRILLS, MD
ZIP 21054
Phone: (410) 721-1507
Fax: (410) 721-1510

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  • Organization
  • Family Medicine
  • CLIA Number: 21D1032691
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-27-2026

About WAUGH CHAPEL FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Waugh Chapel Family Medicine, a primary care provider established in Gambrills, Maryland operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1982671103 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Waugh Chapel Family Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Waugh Chapel Family Medicine. The authorized official of this NPI record is Mr. Peter Odenwald (Vp)

NPI
1982671103
Provider Legal Name
LUMINIS HEALTH MEDICAL GROUP, LLC
Other Organization Name
WAUGH CHAPEL FAMILY MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2401 BRANDERMILL BLVD SUITE 250 GAMBRILLS, MD 21054
Location Phone
(410) 721-1507
Location Fax
(410) 721-1510
Mailing Address
PO BOX 12622 BELFAST, ME 04915
Mailing Phone
(443) 481-6576
Mailing Fax
(410) 721-1510
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2006
Last Update Date
05-24-2021
Code Navigator

A primary care provider (PCP) like Waugh Chapel Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PETER ODENWALD

Authorized Official Title
VP
Authorized Official Phone
(443) 481-6415

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
407175106MEDICAID (05)MD 
956BWAOTHER (01)BCBS
K644OTHER (01)BCBS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D1032691
Facility Type
Physician Office
Certificate Effective Date
October 28, 2024
Certificate Expiration Date
October 27, 2026
Laboratory Director
ANDREW MCGLONE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Waugh Chapel Family Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982671103, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 1 + 2 + 7 + 2 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1982671103.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
2401 BRANDERMILL BLVD, SUITE 360
GAMBRILLS, MD 21054
Internal Medicine
2401 BRANDERMILL BLVD, SUITE 360
GAMBRILLS, MD 21054
Family Medicine
2401 BRANDERMILL BLVD, SUITE 250
GAMBRILLS, MD 21054
Psychiatry & Neurology (Neurology)
2401 BRANDERMILL BLVD, SITE 301
GAMBRILLS, MD 21054
Nurse Practitioner (Obstetrics & Gynecology)
2401 BRANDERMILL BLVD, SUITE 310
GAMBRILLS, MD 21054
Internal Medicine
2401 BRANDERMILL BLVD, S-330
GAMBRILLS, MD 21054
Internal Medicine
2401 BRANDERMILL BLVD, SUITE 330
GAMBRILLS, MD 21054
Durable Medical Equipment & Medical Supplies
2401 BRANDERMILL BLVD, SUITE 230
GAMBRILLS, MD 21054
Clinic/Center (Ambulatory Surgical)
2401 BRANDERMILL BLVD, # 340
GAMBRILLS, MD 21054
Podiatrist (Foot & Ankle Surgery)
2401 BRANDERMILL BLVD, STE 340
GAMBRILLS, MD 21054
Psychologist (Clinical)
2401 BRANDERMILL BLVD, 330
GAMBRILLS, MD 21054
Non-Pharmacy Dispensing Site
2401 BRANDERMILL BLVD, #100
GAMBRILLS, MD 21054
Family Medicine
2401 BRANDERMILL BLVD, SUITE 250
GAMBRILLS, MD 21054
Obstetrics & Gynecology
2401 BRANDERMILL BLVD
GAMBRILLS, MD 21054
Registered Nurse (Women's Health Care, Ambulatory)
2401 BRANDERMILL BLVD
GAMBRILLS, MD 21054
Dentist (Oral and Maxillofacial Surgery)
2401 BRANDERMILL BLVD, SUITE 320
GAMBRILLS, MD 21054
Dermatology
2401 BRANDERMILL BLVD, SUITE 240
GAMBRILLS, MD 21054
Internal Medicine (Sports Medicine)
2401 BRANDERMILL BLVD, SUITE 250
GAMBRILLS, MD 21054
Family Medicine
2401 BRANDERMILL BLVD, SUITE 250
GAMBRILLS, MD 21054
Family Medicine
2401 BRANDERMILL BLVD
GAMBRILLS, MD 21054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982671103, enumerated as an "organization" on March 07, 2006.

The provider is located at 2401 BRANDERMILL BLVD SUITE 250 GAMBRILLS, MD 21054 and the phone number is (410) 721-1507.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.