LIFEBRIDGE INVESTMENTS, INC


Address: 515 Fairmount Ave, Ste 100a, Towson, MD 21286-5466
Phone: 4104941315

LIFEBRIDGE INVESTMENTS, INC (NPI# 1861689382) 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) 1861689382
Entity Type Organization
Organization Name LIFEBRIDGE INVESTMENTS, INC
Other Organization Name LIFEBRIDGE COMMUNITY PRACTICES, LLC D/B/A CLINICAL ASSOCIATES ASC
Practice Address 515 Fairmount Ave
Ste 100a
Towson
MD 21286-5466
Mailing Address 515 Fairmount Ave
Credentialing Office
Towson
MD 21286
Practice Telephone 4104941315
Practice Fax Number 4104941361
Mailing Telephone 4104941324
Mailing Fax Number 4104941361
Enumeration Date 2007-09-28
Last Update Date 2012-08-14
NPI Deactivation Date 02/11/2008
NPI Reactivation Date 2008-04-23
Authorized Official Name G MICHAEL FOSTER (CEO)
Authorized Official Telephone 4102965300
Is Organization Subpart Y
Parent Organization Name LIFEBRIDGE INVESTMENTS, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QE0800X Clinic/Center
Specialization: Endoscopy
Ambulatory Health Care Facilities
Y 261QE0800X Clinic/Center
Specialization: Endoscopy
A MD Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD 417384800 05

Other Provider/Organization Names

Other Name Type Code
LifeBridge Community Practices, LLC d/b/a Clinical Associates ASC Doing Business As Name - Organization

Office Location

Street Address 515 FAIRMOUNT AVE
STE 100A
City TOWSON
State MD
Zip Code 21286-5466

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NPI Name Taxonomy Address Enumeration
1013910454 David S. Berliner Internal Medicine 515 Fairmount Ave, Ste 400, Towson, MD 21286-5466 2005-05-31
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1699280511 Genesis Eldercare Physician Services LLC Internal Medicine 515 Fairmount Ave, Towson, MD 21286 2017-12-14
1497296271 Candice Korolevich Nurse Practitioner 515 Fairmount Ave, Towson, MD 21286 2017-03-14
1124572763 Gps Physician Group of Texas Pllc Internal Medicine 515 Fairmount Ave, Towson, MD 21286-5466 2016-08-11
1659737898 Genesis Eldercare Physician Services LLC Internal Medicine 515 Fairmount Ave, Towson, MD 21286-5466 2016-01-04
1184095267 Genesis Eldercare Physician Services LLC Internal Medicine 515 Fairmount Ave, Towson, MD 21286-5466 2015-10-14
1104297852 Genesis Eldercare Physician Services LLC Internal Medicine 515 Fairmount Ave, Towson, MD 21286-5466 2015-10-07
1982074001 Clinical Associates P A Clinic/Center 515 Fairmount Ave, Ste 100a, Towson, MD 21286-5466 2015-10-01
1417344284 Genesis Staffing Services, LLC Community/Behavioral Health 515 Fairmount Ave, 8th Floor, Towson, MD 21286-5466 2015-04-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1285289629 Center for Creative Values Inc Community/Behavioral Health 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 2019-08-02
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1609337021 Tyler James Howard Psychologist 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 2019-03-28
1477019578 Ruth Marie Collins Counselor 8501 Lasalle Rd., Suite 115, Towson, MD 21286 2019-02-13
1396200671 Christian Dorry Behavior Technician Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 2019-01-31
1831667799 Casey O'sullivan Counselor 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 2018-11-08
1649763053 Rosemary O Okpulor Nurse Practitioner 8510 Lasalle Rd, Suite 310, Towson, MD 21286 2018-06-11
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Taxonomy Information

Taxonomy Code 261QE0800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Endoscopy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982074001 Clinical Associates P A Clinic/Center 515 Fairmount Ave, Ste 100a, Towson, MD 21286-5466 2015-10-01
1811934573 Endoscopic Microsurgery Associates Clinic/Center 7402 York Rd, Suite 100, Towson, MD 21204-7532 2006-06-01
1508813197 Endoscopy Center At Towson, Inc Clinic/Center 7402 York Rd, Suite 101, Towson, MD 21204-7532 2006-05-28

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NPI Name Taxonomy Address Enumeration
1689212151 Civista Clinical Services, LLC Clinic/Center 5 N La Plata Ct Ste 201, La Plata, MD 20646-5208 2019-12-16
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1013372986 Gi Wellness Center of Frederick, LLC Clinic/Center 165 Thomas Johnson Dr, Suite B&c, Frederick, MD 21702-4742 2015-12-21
1942462064 Jonathan Mccone Jr. Md PC Clinic/Center 6196 Oxon Hill Rd Ste 640, Oxon Hill, MD 20745 2008-06-30
1386614832 Carroll County Digestive Disease Center, LLC Clinic/Center 216b Washington Heights Med Ctr, Westminster, MD 21157-5633 2006-01-26
1215287156 Eastern Shore Endoscopy, LLC Clinic/Center 511 Idlewild Ave, Easton, MD 21601-3888 2012-09-19
1083855092 Maryland Diagnostic and Therapeutic Endo Center, LLC Clinic/Center 621 Ridgely Ave, Suite 105, Annapolis, MD 21401-1081 2009-03-20
1013170521 Greenbelt Endoscopy Center, LLC Clinic/Center 9821 Greenbelt Rd, Ste 103, Lanham, MD 20706-6240 2008-07-03
1821115700 Urbana Gi Endoscopy Center, LLC Clinic/Center 3280 Urbana Pike, Suite 104, Ijamsville, MD 21754 2007-03-23
1831214717 Advanced Endoscopy Center of Howard County, LLC Clinic/Center 8875 Centre Park Dr, Ste D, Columbia, MD 21045-2114 2007-03-20
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Competitor

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City TOWSON
Zip Code 21286

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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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