| Luminis Health Community Clinics, LLC | |
|
1419 Forest Dr Ste 100 Annapolis MD 21403-1440 | |
| (410) 990-0050 | |
| (410) 990-0336 |
| Full Name | Luminis Health Community Clinics, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1419 Forest Dr Ste 100, Annapolis, Maryland |
| Authorized Official Name and Position | Melissa Rapattoni (AO) |
| Authorized Official Contact | 4434815136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Community Clinics, LLC 2000 Medical Pkwy Ste 409 Annapolis MD 21401-3746 Ph: (434) 815-1364 | Luminis Health Community Clinics, LLC 1419 Forest Dr Ste 100 Annapolis MD 21403-1440 Ph: (410) 990-0050 |
| NPI Number | 1073950671 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 0345475851 |
|---|---|
| Medicare Enrollment ID | O20131108000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073950671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Robert S Eden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902806409 PECOS PAC ID: 2365497823 Enrollment ID: I20050317000200 |
| Provider Name | Bridgitte C Gourley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689646218 PECOS PAC ID: 6103820303 Enrollment ID: I20060830000421 |
| Provider Name | Kari F Alperovitz-bichell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235179672 PECOS PAC ID: 1658468251 Enrollment ID: I20071029000749 |
| Provider Name | Dana Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679545412 PECOS PAC ID: 6608952825 Enrollment ID: I20080327000403 |
| Provider Name | William S Sykora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942284401 PECOS PAC ID: 0547309940 Enrollment ID: I20091124000450 |
| Provider Name | Claudia O Arumala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275710816 PECOS PAC ID: 9638218639 Enrollment ID: I20091204000306 |
| Provider Name | Eman H Al-samrrai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093828501 PECOS PAC ID: 2860448073 Enrollment ID: I20111213000436 |
| Provider Name | Jo Ellen Condon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538216932 PECOS PAC ID: 6800057951 Enrollment ID: I20120417000262 |
| Provider Name | Teresa B Neprud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386636603 PECOS PAC ID: 0042476509 Enrollment ID: I20120727000272 |
| Provider Name | Fikirta B Forrester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982000329 PECOS PAC ID: 9830491760 Enrollment ID: I20160108000622 |
| Provider Name | Pritika Prasad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407240112 PECOS PAC ID: 9739462250 Enrollment ID: I20170208000306 |
| Provider Name | Ernestina Del Rosario Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371703 PECOS PAC ID: 4385073238 Enrollment ID: I20200330000072 |
| Provider Name | Leah Harford Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851687586 PECOS PAC ID: 1254572365 Enrollment ID: I20210629000890 |
| Provider Name | Grace Efunbajo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942827258 PECOS PAC ID: 4486060498 Enrollment ID: I20220627001358 |
| Provider Name | Rachel Burda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780239590 PECOS PAC ID: 4981934114 Enrollment ID: I20220630000120 |
| Provider Name | Orlando Sola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104245646 PECOS PAC ID: 4880989458 Enrollment ID: I20220825000095 |
| Provider Name | Ashley Fae George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730882887 PECOS PAC ID: 7214390640 Enrollment ID: I20230831003195 |
| Provider Name | Taylor L Tallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376355628 PECOS PAC ID: 1153833199 Enrollment ID: I20250625000700 |
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