LIFEBRIDGE COMMUNITY PHYSICIANS, INC (NPI# 1336582238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336582238 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE COMMUNITY PHYSICIANS, INC |
| Other Organization Name | LIFEBRIDGE CARDIOLOGY OF BEL AIR LLC |
| Practice Address |
602 S Atwood Rd Suite 100 Bel Air MD 21014-4172 |
| Practice Telephone | 4106019355 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-08-19 |
| Authorized Official Name | BRIAN CAWLEY (VICE PRESIDENT) |
| Authorized Official Telephone | 4107014381 |
| 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 Bel Air 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 |
| 1144565110 | Lifebridge Community Physicians, Inc | Internal Medicine | 12221 Tullamore Rd, Suite 3, Lutherville Timonium, MD 21093-7816 | 2012-12-03 |
| 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 |
| Street Address |
602 S ATWOOD RD SUITE 100 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405704 | Philip W Halstead | Internal Medicine | 602 S Atwood Rd, Suite 101, Bel Air, MD 21014-4172 | 2005-05-24 |
| 1851749212 | Griswold International, LLC | In Home Supportive Care | 602 S Atwood Rd, Suite 001, Bel Air, MD 21014-4172 | 2016-05-26 |
| 1578922233 | Stella Woods Wise | Nurse Practitioner | 602 S Atwood Rd, Bel Air, MD 21014-4172 | 2016-02-23 |
| 1740663723 | Kelsey Terrones | Nurse Practitioner | 602 S Atwood Rd, #200, Bel Air, MD 21014-4172 | 2015-07-08 |
| 1669710802 | Bel Air Gastroenterology LLC | Internal Medicine | 602 S Atwood Rd, Suite 205, Bel Air, MD 21014-4172 | 2013-01-23 |
| 1225304769 | Cheryl Lynn Walk | Nurse Practitioner | 602 S Atwood Rd, Suite 206, Bel Air, MD 21014-4172 | 2012-03-29 |
| 1215248737 | Bel Air Gastroenterology, LLC | Specialist | 602 S Atwood Rd, Suite 205, Bel Air, MD 21014-4172 | 2010-06-30 |
| 1447575626 | Myo Thant M.d.p.a. | Internal Medicine | 602 S Atwood Rd, Suite 200, Bel Air, MD 21014-4172 | 2010-03-31 |
| 1386899045 | Mary Beth Thier | Nurse Practitioner | 602 S Atwood Rd, Suite 206, Bel Air, MD 21014-4172 | 2008-11-22 |
| 1699929794 | V. S. Nair Md Pa | Specialist | 602 S Atwood Rd, Suite 100, Bel Air, MD 21014-4172 | 2008-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| 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 |
|---|---|---|---|---|
| 1710047709 | Ali Tabrizchi | Internal Medicine | 602 S Atwood Road, Suite 100, Bel Air, MD 21014 | 2006-12-11 |
| 1225263197 | Mitika T Maddula | Internal Medicine | 520 Upper Chesapeake Dr, Suite 201, Bel Air, MD 21014-4339 | 2009-05-21 |
| 1851544159 | Upper Chesapeake Cardiology, LLC | Internal Medicine | 520 Upper Chesapeake Dr, Suite 201, Bel Air, MD 21014-4339 | 2008-10-30 |
| 1790952372 | Amir H Najafi | Internal Medicine | 602 S Atwood Rd, Suite 100, Bel Air, MD 21014-4172 | 2008-05-13 |
| 1285771998 | Upper Chesapeake Cardiology Associates Inc | Internal Medicine | 520 Upper Chesapeake Dr, Suite 201, Bel Air, MD 21014-4339 | 2007-01-31 |
| 1790839074 | Vivek N. Dhruva | Internal Medicine | 520 Upper Chesapeake Dr, Suite 201, Bel Air, MD 21014-4339 | 2007-01-23 |
| 1942278205 | Joyce A. Zeno | Internal Medicine | 520 Upper Chesapeake Dr, Suite 201, Bel Air, MD 21014-4339 | 2006-03-10 |
| 1598759326 | David C Rubin | Internal Medicine | 520 Upper Chesapeake Dr, Suite 201, Bel Air, MD 21014-4339 | 2005-09-08 |
| 1124012182 | Barry A Wohl | Internal Medicine | 520 Upper Chesapeake Dr, Suite 201, Bel Air, MD 21014-4339 | 2005-09-07 |
| 1609860642 | Dean L Vassar | Internal Medicine | 520 Upper Chesapeake Dr, Suite 201, Bel Air, MD 21014-4339 | 2005-09-06 |
| Find all providers in BEL AIR | ||||
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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.