LIFEBRIDGE COMMUNITY PHYSICIANS, INC (NPI# 1053662858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053662858 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE COMMUNITY PHYSICIANS, INC |
| Other Organization Name | CAROL A NEWILL MD |
| Practice Address |
12221 Tullamore Rd # 3 Lutherville Timonium MD 21093-7816 |
| Practice Telephone | 4104941884 |
| Practice Fax Number | 4103087841 |
| Mailing Telephone | 4104941884 |
| Mailing Fax Number | 4103087841 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | MR. BRIAN CAWLEY (VICE PRESIDENT) |
| Authorized Official Telephone | 4105217572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carol A Newill MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113704 | Lifebridge Community Physicians, Inc | Internal Medicine | 940 Madison Avenue First Floor, Baltimore, MD 27201 | 2018-08-07 |
| 1144565110 | Lifebridge Community Physicians, Inc | Internal Medicine | 12221 Tullamore Rd, Suite 3, Lutherville Timonium, MD 21093-7816 | 2012-12-03 |
| 1851873970 | Lifebridge Community Physicians, Inc | Internal Medicine | 711 W. 40th Street, Suite 212a, Baltimore, MD 21211 | 2018-09-05 |
| 1093205841 | Lifebridge Community Physicians, Inc | Orthopaedic Surgery | 10084 Reisterstown Rd, Suite 300a, Owings Mills, MD 21117 | 2018-05-17 |
| 1255702338 | Lifebridge Community Physicians, Inc | Family Medicine | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2015-10-14 |
| 1437528551 | Lifebridge Community Physicians, Inc | Family Medicine | 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029-1185 | 2015-09-18 |
| 1811365828 | Lifebridge Community Physicians, Inc | Orthopaedic Surgery | 2401 W Belvedere Ave, Suite 102-104, Baltimore, MD 21215-5216 | 2015-09-08 |
| 1851768493 | Lifebridge Community Physicians, Inc | Internal Medicine | 12221 Tullamore Rd, Lutherville Timonium, MD 21093-7816 | 2015-08-31 |
| 1760864870 | Lifebridge Community Physicians, Inc | Internal Medicine | 8114 Sandpiper Cir, Suite 206, Nottingham, MD 21236-4934 | 2015-06-25 |
| 1902287121 | Lifebridge Community Physicians, Inc | Internal Medicine | 2411 W Belvedere Ave, Suite 504, Baltimore, MD 21215-5228 | 2015-06-12 |
| Street Address |
12221 TULLAMORE RD # 3 |
| City | LUTHERVILLE TIMONIUM |
| State | MD |
| Zip Code | 21093-7816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851768493 | Lifebridge Community Physicians, Inc | Internal Medicine | 12221 Tullamore Rd, Lutherville Timonium, MD 21093-7816 | 2015-08-31 |
| 1760777809 | Youngjee Choi | Internal Medicine | 10753 Falls Rd, Suite 325, Lutherville Timonium, MD 21093-4535 | 2011-06-16 |
| 1609019132 | Amy Tracy Byrd | Internal Medicine | 10755 Falls Rd, Suite 200, Lutherville Timonium, MD 21093-4515 | 2009-04-14 |
| 1508014481 | Heather Fell Sateia | Internal Medicine | 10753 Falls Rd, Pavilion II, Suite 325, Lutherville Timonium, MD 21093-4535 | 2008-09-03 |
| 1730240284 | Nishi Das | Internal Medicine | 1 Texas Station Ct, Suite 210, Lutherville Timonium, MD 21093-8286 | 2006-12-12 |
| 1083649081 | Vikesh K Singh | Internal Medicine | 2360 W Joppa Rd, Suite 205, Lutherville Timonium, MD 21093-4624 | 2006-07-11 |
| 1215997275 | Norman M Dy | Internal Medicine | 2360 W Joppa Rd, Suite 306, Lutherville Timonium, MD 21093-4624 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528353 | Barry Whitcomb Wolcott | Internal Medicine | 7353 Oskaloosa Dr, Derwood, MD 20855-2647 | 2020-11-04 |
| 1891396107 | Medacute Care LLC | Internal Medicine | 313 Skyview Dr, Cumberland, MD 21502-1929 | 2020-11-03 |
| 1689272262 | Marsha Seidelman, M.d., LLC | Internal Medicine | 10301 Georgia Ave Ste 304, Silver Spring, MD 20902-5020 | 2020-10-15 |
| 1770190647 | Medical Maryland Star Choice LLC | Internal Medicine | 2308 Pot Spring Rd, Luthvle Timon, MD 21093-2726 | 2020-09-25 |
| 1538774609 | Benchmark Medical LLC | Internal Medicine | 904 Stags Head Rd, Towson, MD 21286-1459 | 2020-09-15 |
| 1760090294 | Outreach Recovery II, LLC | Internal Medicine | 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 | 2020-07-21 |
| 1699398008 | Tb Medical | Internal Medicine | 10753 Falls Rd Ste 225, Lutherville, MD 21093-4597 | 2020-05-20 |
| 1073136693 | Bernard Willis Parker | Internal Medicine | 15239 Briarcliff Manor Way, Burtonsville, MD 20866-1662 | 2020-05-19 |
| 1134742695 | Dura Internal Medicine Limited Liability Company | Internal Medicine | 15225 Shady Grove Rd Ste 103, Rockville, MD 20850-3252 | 2020-05-19 |
| 1457973026 | Zeus Primary Care Associates LLC | Internal Medicine | 4701 Randolph Rd Ste 209a, Rockville, MD 20852-2257 | 2020-05-17 |
| Find all providers with the same taxonomy | ||||
| City | LUTHERVILLE TIMONIUM |
| Zip Code | 21093 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.