LIFEBRIDGE COMMUNITY PHYSICIANS, INC (NPI# 1467867044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467867044 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE COMMUNITY PHYSICIANS, INC |
| Other Organization Name | DR MICHELLE MORGANTI |
| Practice Address |
1401 Pulaski Hwy Suite M Edgewood MD 21040-1398 |
| Practice Telephone | 4106019355 |
| Mailing Telephone | 4106019355 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | JOEL SULDAN (VICE PRESIDENT) |
| Authorized Official Telephone | 4106015121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dr Michelle Morganti | 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 |
1401 PULASKI HWY SUITE M |
| City | EDGEWOOD |
| State | MD |
| Zip Code | 21040-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811038300 | N&n Business Enterprises Inc | Pharmacy | 1401 Pulaski Hwy, Suite U, Edgewood, MD 21040-1398 | 2007-02-09 |
| 1538541784 | Myeyedr Optometry of Maryland, LLC | Optometrist | 1401 Pulaski Hwy, Edgewood, MD 21040-1398 | 2015-06-24 |
| 1346513538 | Lifebridge Community Physicians, Inc | Internal Medicine | 1401 Pulaski Hwy, Suite M, Edgewood, MD 21040-1398 | 2012-02-17 |
| 1083895478 | Halpern Eye Care of Maryland, Inc. | Optometrist | 1401 Pulaski Hwy, Suite W, Edgewood, MD 21040-1398 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028458 | Alycia Covelly | Counselor | 2415 Willoughby Beach Rd, Edgewood, MD 21040 | 2018-06-29 |
| 1558885491 | Kenneth J Heil Jr. | Physical Therapist | 1401f Pulaski Highway, Edgewood, MD 21040 | 2017-08-02 |
| 1952845810 | Caroline Njane | Registered Nurse | 835 Clover Leaf Ct, Edgewood, MD 21040 | 2016-12-12 |
| 1003368945 | Rts Edgewood | Clinic/Center | 2205 Pulaski Hwy, Edgewood, MD 21040 | 2016-10-26 |
| 1194133033 | Dante Winter | Pharmacist | 1301 Woodbridge Center Way, Edgewood, MD 21040 | 2014-07-23 |
| 1841469723 | Rafiq Patel M D P A | General Practice | 1952 Pulaski Highway, Edgewood, MD 21040 | 2008-02-26 |
| 1871793877 | Nichols Shelter Home for Elderly | Health Maintenance Organization | 1111 Hanson Rd., Edgewood, MD 21040 | 2007-07-19 |
| 1467505362 | William N Bernhard | Preventive Medicine | 2624 Fairview Pt Rd. Bldg E 6814, Aviation Medicine Clinic, Edgewood (apg), MD 21040 | 2007-01-22 |
| 1417006503 | Phoenix Recovery Center Inc | Clinic/Center | 107 Edgewood Rd, Edgewood, MD 21040 | 2007-01-09 |
| 1093886848 | Fernando Jose Narava | Dentist | 9690 Deereco, Suite 120, Timonium, MD 21040 | 2006-11-13 |
| Find all providers in zip 21040 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851701452 | Megan O'conner Schneider | Obstetrics & Gynecology | 20 Medical Village Dr Ste 302, Edgewood, KY 41017 | 2014-05-05 |
| 1538467196 | Trihealth G LLC | Obstetrics & Gynecology | 1 Medical Village Dr Fl 3, Edgewood, KY 41017-3403 | 2011-03-07 |
| 1043537723 | Charles Stephens, M.d. | Obstetrics & Gynecology | 3106 Hudnall Ln, Edgewood, KY 41017-2321 | 2010-04-21 |
| 1922043561 | Sanjeevani Takemalker Kulkarni | Obstetrics & Gynecology | 1020 Edgewood Rd, Edgewood, MD 21040 | 2006-06-18 |
| 1841295243 | Paul Allen Jacobs | Obstetrics & Gynecology | 20 Medical Village Dr, Ste 302, Edgewood, KY 41017-5402 | 2005-06-14 |
| 1043213028 | Vincent Thomas Bilotta | Obstetrics & Gynecology | 20 Medical Village Drive, Suite 302, Edgewood, KY 41017-5402 | 2005-05-24 |
| 1639559339 | Brittny Schadler | Obstetrics & Gynecology | 20 Medical Village Dr Ste 302, Edgewood, KY 41017-5402 | 2015-06-08 |
| 1689922619 | Charles Oliver Stephens | Obstetrics & Gynecology | 3106 Hudnall Ln, Edgewood, KY 41017 | 2012-08-23 |
| 1942579073 | Harford County Health Department | Obstetrics & Gynecology | 1321 Woodbridge Station Way, Edgewood, MD 21040-3830 | 2011-12-19 |
| 1902190366 | Erin M. Tuemler | Obstetrics & Gynecology | 20 Medical Village Dr, Suite 302, Edgewood, KY 41017-5401 | 2011-06-02 |
| Find all providers in EDGEWOOD | ||||
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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.