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PAVILION OB/GYN
NPI 1992772180
Obstetrics & Gynecology in Annapolis, MD

Active since March 07, 2006
2002 MEDICAL PKWY, SUITE 635, ANNAPOLIS, MD 21401(410) 224-1133(410) 266-1639 Get Directions Write a Review

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

About Pavilion Ob/gyn NPPES

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

PAVILION OB/GYN (NPI 1992772180) is a healthcare organization registered as an obstetrics & gynecology in Annapolis, Maryland and active in the NPI registry since March 2006. The organization lists Peter Odenwald, Vice President, as its authorized official.

NPPES Registry Identity

NPI1992772180
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC
Location Address2002 MEDICAL PKWY, SUITE 635Annapolis, MD 21401-3046
Mailing AddressPo Box 12622Belfast, ME 04915-4017 · (443) 481-6524 · Fax (443) 481-6515
Phone(410) 224-1133
Fax(410) 266-1639
Organization SubpartNo
Authorized OfficialPeter OdenwaldVice President · (443) 481-6415
Enumeration DateMarch 7, 2006
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1992772180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
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.
2002 MEDICAL PKWY, Annapolis, MD 21401
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Other Names 1

Doing Business AsPavilion Ob/gyn

Other Identifiers 3

Medicaid407175101MD
OtherK582Bcbs
Other896BPABcbs

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.

DR. LAWRENCE J KREBS PHARMD
Pharmacist
2002 MEDICAL PKWY, STE 170
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-6900
JOHN HAROLD LOSSING M.D.
Psychiatry & Neurology (Neurology)
2002 MEDICAL PKWY, SUITE 430
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-2740
LUQMAN K DAD MD
Radiology (Radiation Oncology)
2002 MEDICAL PKWY, SUITE 235
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-2770
SADIA JAHAN SHAFI
Internal Medicine (Cardiovascular Disease)
2002 MEDICAL PKWY, SUITE 310
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-0040
DR. JONATHAN A ALTSCHULER M.D.
Internal Medicine (Cardiovascular Disease)
2002 MEDICAL PKWY, STE 500
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-6480
RICHARD MICHAEL PODOLIN PH D
Psychologist
2002 MEDICAL PKWY, SUITE 430
ANNAPOLIS, MD 21401
Anne Arundel County (410) 757-1005
JONATHAN KIEV MD PA LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2002 MEDICAL PKWY, STE 660
ANNAPOLIS, MD 21401
Anne Arundel County (877) 503-2609
LUMINIS HEALTH MEDICAL GROUP, LLC
Family Medicine
2002 MEDICAL PKWY, SUITE 670
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1150

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 1992772180. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Pavilion Ob/Gyn.

Where is Luminis Health Medical Group, LLC located?

Luminis Health Medical Group, LLC is located at 2002 Medical Pkwy Suite 635, Annapolis, MD 21401. The listed phone number is (410) 224-1133.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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.