LIFEBRIDGE COMMUNITY PHYSICIANS


Address: 1011 Baltimore Blvd, Westminster, MD 21157-7055
Phone: 4105212200

LIFEBRIDGE COMMUNITY PHYSICIANS (NPI# 1225653272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225653272
Entity Type Organization
Organization Name LIFEBRIDGE COMMUNITY PHYSICIANS
Practice Address 1011 Baltimore Blvd
Westminster
MD 21157-7055
Mailing Address 10084 Reisterstown Rd Ste 300a
Owings Mills
MD 21117-4160
Practice Telephone 4105212200
Practice Fax Number 4106014494
Mailing Telephone 4105212200
Mailing Fax Number 4106014494
Enumeration Date 2020-06-15
Last Update Date 2020-06-15
Authorized Official Name MARY REBECCA WRIGHT-SISK (DIRECTOR)
Authorized Official Telephone 4107014439
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Dr. John Ingari Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407256985 Lifebridge Community Physicians Internal Medicine 5401 Old Court Rd, Randallstown, MD 21133-5103 2014-09-03
1962756189 Lifebridge Community Physicians Pediatrics 2003 Rock Spring Rd, Forest Hill, MD 21050-2611 2012-11-09

Office Location

Street Address 1011 BALTIMORE BLVD
City WESTMINSTER
State MD
Zip Code 21157-7055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932178811 Alexander Bogdaschewskyi Legal Medicine 1011 Baltimore Blvd, Westminster, MD 21157-7055 2006-03-14
1326699919 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1011 Baltimore Blvd, Westminster, MD 21157-7055 2019-09-25
1881130581 Elise Kay Egolf Physical Therapist 1011 Baltimore Blvd, Westminster, MD 21157-7055 2017-01-18
1548653884 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 1011 Baltimore Blvd, Westminster, MD 21157-7055 2015-03-11
1225428915 Lifebridge Community Physicians, Inc Internal Medicine 1011 Baltimore Blvd, Westminster, MD 21157-7055 2015-02-02
1083002281 Progressive Radiology of Westminster LLC Radiology 1011 Baltimore Blvd, Westminster, MD 21157-7055 2014-12-23
1386045441 Lifebridge Community Physicians, Inc Internal Medicine 1011 Baltimore Blvd, Westminster, MD 21157-7055 2014-09-09
1093141616 Lifebridge Community Physicians, Inc Internal Medicine 1011 Baltimore Blvd, Dr Alexander Bogdaschewskyi, Westminster, MD 21157-7055 2013-09-16
1093042012 Mnr Industries, LLC Clinic/Center 1011 Baltimore Blvd, Westminster, MD 21157-7023 2009-11-12
1699954602 Robert Mason Ricketts Jr. Specialist 1011 Baltimore Blvd, Suite E, Westminster, MD 21157-7055 2007-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013523083 Krista Stanzione Counselor 10 Distillery Drive, Ste 200, Westminster, MD 21157 2020-09-16
1487263893 Jordan Butler Counselor Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 2020-07-31
1558920991 Ashton Nicole Burnham Social Worker 10 Distillery Dr Suite 200, Westminster, MD 21157 2019-06-10
1265903173 Kathy Denise Omara Speech-Language Pathologist 125 North Court Street, Westminster, MD 21157 2018-12-17
1013419837 Ericka M Walters Social Worker 77-81 E. Main Street, Suite 406, Westminster, MD 21157 2018-03-07
1982146353 Access Carroll, LLC Clinic/Center 10 Distillery Drive, Suite 200, Westminster, MD 21157 2016-11-16
1619327293 Bh Brightview Westminster Ridge Opco, LLC Alzheimer Center (Dementia Center) 505 High Acre Drive, Westminster, MD 21157 2016-06-15
1710362926 Laura Coulter Social Worker 280 E Main St Ste 202, Westminster, MD 21157 2015-07-29
1205213436 Carroll County Health Department Public Health or Welfare 290 S. Center Street, Westminster, MD 21157 2015-04-27
1972990489 Ivy Smink Registered Nurse 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 2015-04-22
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003306895 Froc, PC Orthopaedic Surgery 500 W 144th Ave Ste 120, Westminster, CO 80023-9326 2018-05-16
1689952947 Catholic Health Initiatives Colorado Orthopaedic Surgery 8510 Bryant St., Suite 320, Westminster, CO 80031 2011-08-03
1578585071 Michael C. Bagley Orthopaedic Surgery 400 W 144th Ave, Suite 230, Westminster, CO 80023-9307 2006-07-24
1750334330 H Michael Tramutt Md PC Orthopaedic Surgery 7919 Zenobia Street, Westminster, CO 80030 2006-05-18
1215917877 David M Bierbrauer Orthopaedic Surgery 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 2006-01-19
1518582352 Bianca Marie Seivley Orthopaedic Surgery 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 2020-06-08
1205362662 Oc Rehab, A Medical Group, Inc Orthopaedic Surgery 7631 Wyoming St Ste 107, Westminster, CA 92683-3904 2017-05-04
1073904942 Cornerstone Orthopedics Surgery and Sports Medicine, P.C. Orthopaedic Surgery 14300 Orchard Pkwy, Westminster, CO 80023-9206 2015-02-12
1821490137 Cornerstone Orthopedics Surgery and Sports Medicine, P.C. Orthopaedic Surgery 500 W 144th Ave Ste 230, Westminster, CO 80023-9328 2014-09-17
1275940090 Carroll Health Group, LLC Orthopaedic Surgery 844 Washington Rd, Suite 102, Westminster, MD 21157-6664 2014-07-14
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City WESTMINSTER
Zip Code 21157

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Dataset Information

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.

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