Crystal Olivia Leonard (NPI# 1265908446, PAC ID# 0941545818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265908446 |
| PAC ID by PECOS | 0941545818 |
| Professional Enrollment ID | I20181220002387 |
| Full Name | Crystal Olivia Leonard |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Address |
6190 Georgetown Blvd Suite 104 Eldersburg MD 21784-6460 |
| Phone Number | 4105525050 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678751468 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6190 Georgetown Blvd, Suite 104, Eldersburg, MD 21784-6460 | 4105525050 | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Witanowski | Internal Medicine | Lifebridge Community Physicians Inc | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 |
| Kimberly S Weiss | Physician Assistant | Lifebridge Community Physicians Inc | 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029-1185 |
| Sam A Zamaria | Obstetrics/gynecology | Lifebridge Community Physicians Inc | 118 Shawan Rd, Suite 220, Cockeysville, MD 21030-1318 |
| Ronald L Broadwater Sr. | General Practice | Lifebridge Community Physicians Inc | 688 Poole Rd, Westminster, MD 21157-6166 |
| Ruchira N Thakor | Family Medicine | Lifebridge Community Physicians Inc | 4 W Rolling Crossroads, Suite 100, Catonsville, MD 21228-6280 |
| Charles Phillip Adamo | Family Medicine | Lifebridge Community Physicians Inc | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 |
| Prema Siva | Internal Medicine | Lifebridge Community Physicians Inc | 8871 Gorman Rd, Laurel, MD 20723-5877 |
| Cyrus Hamidi | Family Medicine | Lifebridge Community Physicians Inc | 913 Ridgebrook Rd, Suite 312, Sparks, MD 21152-9457 |
| Elvira Pasmanik | Internal Medicine | Lifebridge Community Physicians Inc | 8600 Liberty Rd, Randallstown, MD 21133-4707 |
| Alexander Bogdaschewskyi | Internal Medicine | Lifebridge Community Physicians Inc | 1011 Baltimore Blvd, Westminster, MD 21157-7055 |
| Street Address |
6190 GEORGETOWN BLVD SUITE 104 |
| City | ELDERSBURG |
| State | MD |
| Zip | 21784-6460 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph M Layug | Orthopedic Surgery | Lifebridge Sports Medicine and Rehabilitation LLC | 6190 Georgetown Blvd, Suite 108, Eldersburg, MD 21784-6460 |
| Monique Husbands Oyeukwu | Family Medicine | Lifebridge Sports Medicine and Rehabilitation LLC | 6190 Georgetown Blvd, Suite 108, Eldersburg, MD 21784-6460 |
| Florin I. Niculescu | Rheumatology | Lifebridge Sports Medicine and Rehabilitation LLC | 6190 Georgetown Blvd, Suite 108, Eldersburg, MD 21784-6460 |
| Bethany Six | Nurse Practitioner | Eldersburg Arthritis LLC | 6190 Georgetown Blvd, Suite 110, Eldersburg, MD 21784-6460 |
| Joseph Ciotola | Orthopedic Surgery | Lifebridge Sports Medicine and Rehabilitation LLC | 6190 Georgetown Blvd, Suite 108, Eldersburg, MD 21784-6460 |
| Teodora M Niculescu | Rheumatology | Lifebridge Sports Medicine and Rehabilitation LLC | 6190 Georgetown Blvd, Suite 108, Eldersburg, MD 21784-6460 |
| Brenda D'antoni | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystal Leigh Thomas | Nurse Practitioner | Integrace Health Inc | 7200 3rd Ave, Sykesville, MD 21784-5201 |
| Tracy Marie Ball | Chiropractic | 13079 Old Frederick Rd, Sykesville, MD 21784-5612 | |
| Steven C Boesche | Chiropractic | 13890 Forsythe Rd, Sykesville, MD 21784-5811 | |
| Nicole Elaine Clarke | Qualified Speech Language Pathologist | 1814 Fallstaff Ct, Eldersburg, MD 21784-6274 | |
| Mahendra Khera | Psychiatry | 1425 Liberty Rd, Suite 216, Sykesville, MD 21784-6415 | |
| Tamara C Almonte | Psychologist, Clinical | 1425 Liberty Rd, Suite 202, Eldersburg, MD 21784-6415 | |
| Charles Palamone | Chiropractic | 6220 Georgetown Blvd, E, Eldersburg, MD 21784-6417 | |
| Michael Ira Davis | Optometry | 6300 Georgetown Blvd, Suite 121, Eldersburg, MD 21784-6422 | |
| Amy A Martin | Nurse Practitioner | Cedar Ridge Counseling Centers, LLC | 1311 Londontown Blvd, Suite 130a, Eldersburg, MD 21784-6439 |
| Scott A Samson | Chiropractic | K and S Chiropractic, LLC | 1311 Londontown Blvd, Suite 115, Eldersburg, MD 21784-6439 |
| Find all physicians in zip 21784 | |||
| City | ELDERSBURG |
| Zip Code | 21784 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ELDERSBURG + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.