LIFEBRIDGE COMMUNITY PHYSICIANS, INC (NPI# 1760864870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760864870 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE COMMUNITY PHYSICIANS, INC |
| Other Organization Name | LIFEBRIDGE HEALTH CARDIOLOGY OF BALTIMORE, LLC D/B/A DR JERALD INSEL |
| Practice Address |
8114 Sandpiper Cir Suite 206 Nottingham MD 21236-4934 |
| Practice Telephone | 4109334923 |
| Practice Fax Number | 4109338659 |
| Mailing Telephone | 4109334923 |
| Mailing Fax Number | 4109338659 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |
| Authorized Official Name | MARY WRIGHT-SISK (DIRECTOR) |
| Authorized Official Telephone | 4107014439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD | Allopathic & Osteopathic Physicians | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LifeBridge Health Cardiology of Baltimore, LLC d/b/a Dr Jerald Insel | 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 |
| 1902287121 | Lifebridge Community Physicians, Inc | Internal Medicine | 2411 W Belvedere Ave, Suite 504, Baltimore, MD 21215-5228 | 2015-06-12 |
| Street Address |
8114 SANDPIPER CIR SUITE 206 |
| City | NOTTINGHAM |
| State | MD |
| Zip Code | 21236-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687662 | Angelina Argyle | Social Worker | 8114 Sandpiper Cir, Nottingham, MD 21236-4934 | 2018-08-03 |
| 1043721343 | Matilda Korkor Decker | Nurse Practitioner | 8114 Sandpiper Cir, Nottingham, MD 21236-4934 | 2017-10-13 |
| 1114466745 | Chesapeake Open Mri LLC | Radiology | 8114 Sandpiper Cir, Suite 106, Nottingham, MD 21236-4934 | 2017-02-15 |
| 1578017943 | Ryan Russell Myrick | Physical Therapy Assistant | 8114 Sandpiper Cir, Suite 114, Nottingham, MD 21236-4934 | 2016-08-15 |
| 1164884466 | Lifebridge Health | Clinic/Center | 8114 Sandpiper Cir, Suite 206, Nottingham, MD 21236-4934 | 2016-03-25 |
| 1538541891 | Nina-cecilia Venturina Santos I | Dentist | 8114 Sandpiper Cir, Suite 210, Nottingham, MD 21236-4934 | 2015-06-23 |
| 1841681673 | Liangkai Weng Dds LLC | Dentist | 8114 Sandpiper Cir, Suite 210, Nottingham, MD 21236-4934 | 2015-02-16 |
| 1235474685 | Liangkai Weng | Dentist | 8114 Sandpiper Cir, Suite 210, Nottingham, MD 21236-4934 | 2012-12-11 |
| 1134475353 | Jennifer Lynn Gaines | Physical Therapist | 8114 Sandpiper Cir, Suite 114, Nottingham, MD 21236-4934 | 2012-07-25 |
| 1174757355 | Jamie Victoria Stevenson | Registered Nurse | 8114 Sandpiper Cir, Ste 215, Nottingham, MD 21236-5902 | 2009-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| 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 |
|---|---|---|---|---|
| 1639100373 | Jennifer Tanio | Internal Medicine | 4924 Campbell Blvd, Nottingham, MD 21236-5908 | 2006-07-05 |
| 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 | NOTTINGHAM |
| Zip Code | 21236 |
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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.