LIFEBRIDGE COMMUNITY PHYSICIANS, INC (NPI# 1144565110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144565110 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE COMMUNITY PHYSICIANS, INC |
| Other Organization Name | LIFEBRIDGE CARDIOLOGY OF MAYS CHAPEL LLC |
| Practice Address |
12221 Tullamore Rd Suite 3 Lutherville Timonium MD 21093-7816 |
| Practice Telephone | 4103087845 |
| Practice Fax Number | 4103087846 |
| Mailing Telephone | 4103087845 |
| Mailing Fax Number | 4103087846 |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | CATHERINE ZITO (DIRECTOR) |
| Authorized Official Telephone | 4107014439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LifeBridge Cardiology of Mays Chapel LLC | 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 |
| 1053662858 | Lifebridge Community Physicians, Inc | Internal Medicine | 12221 Tullamore Rd # 3, Lutherville Timonium, MD 21093-7816 | 2012-09-20 |
| 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 SUITE 3 |
| City | LUTHERVILLE TIMONIUM |
| State | MD |
| Zip Code | 21093-7816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851768493 | Lifebridge Community Physicians, Inc | Internal Medicine | 12221 Tullamore Rd, Lutherville Timonium, MD 21093-7816 | 2015-08-31 |
| 1235517509 | Lifebridge Community Physicians, Inc | Internal Medicine | 12221 Tullamore Rd, Lutherville Timonium, MD 21093-7816 | 2015-05-07 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1265050090 | Innovative Speciality Health Care | Internal Medicine | 18566 Office Park Drive, Montgomery Village, MD 20886-0586 | 2020-07-08 |
| 1407486293 | Dimensions Health Associates Dba University of Maryland Capital Region | Internal Medicine | 251 National Harbor Blvd Fl 5, Oxon Hill, MD 20745-1052 | 2020-01-21 |
| 1366914681 | Anil K Singh Md Pa | Internal Medicine | 625 Kent Ave Ste 209, Cumberland, MD 21502-3799 | 2018-12-27 |
| 1972084507 | University of Maryland Baltimore Washington Heart Associates LLC | Internal Medicine | 7845 Oakwood Rd Ste 106, Glen Burnie, MD 21061-4256 | 2018-08-22 |
| 1285113704 | Lifebridge Community Physicians, Inc | Internal Medicine | 940 Madison Avenue First Floor, Baltimore, MD 27201 | 2018-08-07 |
| 1972091585 | Sd Cardiology Associates LLC | Internal Medicine | 716 Maiden Choice Ln Ste 202, Catonsville, MD 21228-5952 | 2018-04-30 |
| 1538665906 | Heart Care of Maryland LLC | Internal Medicine | 826 Washington Rd Ste 215, Westminster, MD 21157-5780 | 2018-04-03 |
| 1083125736 | Om Cardiology, LLC | Internal Medicine | 910 Washington Rd Ste A, Westminster, MD 21157-5845 | 2017-10-21 |
| 1922460013 | Heart To Heart Pllc | Internal Medicine | 9824 Oxbridge Way, Bowie, MD 20721-3131 | 2016-03-28 |
| 1235503186 | Nader A Dakak Md | Internal Medicine | 12150 Annapolis Rd Ste 105, Glenn Dale, MD 20769-9183 | 2015-11-16 |
| 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.