{"npi":"1942528591","type":"NPI-2","status":"active","name":{"display":"Luminis Health Medical Group, LLC","other":[],"organization_name":"LUMINIS HEALTH MEDICAL GROUP, LLC","authorised_official":"Melissa Rapattoni"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1630 MAIN ST STE 112","city":"CHESTER","state":"MD","postal_code":"216192792","country_code":"US","phone":"4434815300","fax":"4434816705"},{"purpose":"MAILING","street_1":"PO BOX 12622","city":"BELFAST","state":"ME","postal_code":"049154017","country_code":"US","phone":"4434816573","fax":"4434816515"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"407175131","state":"MD","issuer":null},{"type_code":"01","label":"Other","value":"CRV6BR","state":"MD","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"V874","state":"DC","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-05-06","last_updated":"2024-10-15","_meta":{"source":"NPPES","snapshot_date":"2024-10-15","doc_url":"https://findmynpi.com/api"}}