Leonard Allison Richardson (NPI# 1053384750, PAC ID# 7911915400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053384750 |
| PAC ID by PECOS | 7911915400 |
| Professional Enrollment ID | I20100916001263 |
| Full Name | Leonard Allison Richardson |
| Organization Legal Name | LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC |
| Address |
19 Walker Ave Suite 100 Pikesville MD 21208-4006 |
| Phone Number | 4104842855 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4385787910 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210040 | NORTHWEST HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7301 E Furnace Branch Rd, Suite B, Glen Burnie, MD 21060-7059 | 4107665136 | PRIMARY MEDICINE LLC |
| 14205 Park Ctr Dr, Suite 202, Laurel, MD 20707-5252 | 3014989494 | PRIMARY MEDICINE LLC |
| 19 Walker Ave, Suite 100, Pikesville, MD 21208-4006 | 4104842855 | LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC |
| 19 Walker Ave, Suite 102, Pikesville, MD 21208-4075 | 4106532290 | PRIMARY MEDICINE LLC |
| 19 Walker Ave, Pikesville, MD 21208-4006 | 4104842855 | LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC |
| 6121 Montrose Rd, Rockville, MD 20852-4803 | 3017708438 | HEBREW HOME OF GREATER WASHINGTON INC |
| Organization Legal Name | LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Albert Elwell | Physical Therapy | Lifebridge Sports Medicine and Rehabilitation LLC | 8757 Mylander Ln, Towson, MD 21286-2102 |
| Dontese J Nicholson | Interventional Pain Management | Lifebridge Sports Medicine and Rehabilitation LLC | 1364 Martin Blvd, Suite 5, Middle River, MD 21220-4104 |
| Joseph M Layug | Orthopedic Surgery | Lifebridge Sports Medicine and Rehabilitation LLC | 6190 Georgetown Blvd, Suite 108, Eldersburg, MD 21784-6460 |
| Peggy R Posey | Physical Therapy | Lifebridge Sports Medicine and Rehabilitation LLC | 1393 Progress Way, Suite 907, Eldersburg, MD 21784-6473 |
| Monique Husbands Oyeukwu | Family Medicine | Lifebridge Sports Medicine and Rehabilitation LLC | 6190 Georgetown Blvd, Suite 108, Eldersburg, MD 21784-6460 |
| Chad C Zooker | Orthopedic Surgery | Lifebridge Sports Medicine and Rehabilitation LLC | 19 Walker Ave, Suite 100, Pikesville, MD 21208-4006 |
| Florin I. Niculescu | Rheumatology | Lifebridge Sports Medicine and Rehabilitation LLC | 6190 Georgetown Blvd, Suite 108, Eldersburg, MD 21784-6460 |
| Neal Brian Zimmerman | Orthopedic Surgery | Lifebridge Sports Medicine and Rehabilitation LLC | 826 Washington Rd, Suite 111, Westminster, MD 21157-5779 |
| Joseph Ciotola | Orthopedic Surgery | Lifebridge Sports Medicine and Rehabilitation LLC | 6190 Georgetown Blvd, Suite 108, Eldersburg, MD 21784-6460 |
| Kristian Kunicky | Physician Assistant | Lifebridge Sports Medicine and Rehabilitation LLC | 1364 Martin Blvd, Suite 5, Middle River, MD 21220-4104 |
| Street Address |
19 WALKER AVE SUITE 100 |
| City | PIKESVILLE |
| State | MD |
| Zip | 21208-4006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ditra Stanford Scruggs | Podiatry | 19 Walker Ave, Suite 200, Pikesville, MD 21208-4078 | |
| Chad C Zooker | Orthopedic Surgery | Lifebridge Sports Medicine and Rehabilitation LLC | 19 Walker Ave, Suite 100, Pikesville, MD 21208-4006 |
| Mary L Turner | Nurse Practitioner | Victory Springs Inc | 19 Walker Ave, Suite 203, Pikesville, MD 21208-4078 |
| David P Buchalter | Orthopedic Surgery | Lifebridge Sports Medicine and Rehabilitation LLC | 19 Walker Ave, Suite 100, Pikesville, MD 21208-4006 |
| Marc Wilson Hungerford | Orthopedic Surgery | Lifebridge Sports Medicine and Rehabilitation LLC | 19 Walker Ave, Suite 100, Pikesville, MD 21208-4006 |
| Chiemeka A Uma | Geriatric Medicine | Victory Springs Inc | 19 Walker Ave, Suite 203, Pikesville, MD 21208-4078 |
| Maureen I Edozie | Nurse Practitioner | Victory Springs Inc | 19 Walker Ave, Suite 203, Pikesville, MD 21208-4078 |
| Marcia D Wolf | Physical Medicine and Rehabilitation | 19 Walker Ave, Suite 101, Pikesville, MD 21208-4006 | |
| Janet Elsie Arconti | Physical Therapy | Lifebridge Sports Medicine and Rehabilitation LLC | 19 Walker Ave, Suite 100, Pikesville, MD 21208-4006 |
| Laura Michelle Kivlen | Physical Therapy | Lifebridge Sports Medicine and Rehabilitation LLC | 19 Walker Ave, Suite 100, Pikesville, MD 21208-4006 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas F Krajewski | Psychiatry | 8909 Reisterstown Raod, Arden Courts Pikesville, Pikesville, MD 21208-1072 | |
| Helen L Cruz | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Sidney Nelson Iii | Internal Medicine | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Margianna Stotelmyer Toms | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Celian Valero Colon | Internal Medicine | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Margaret A Austin | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Adetimbo Adediran | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Michelle R Mccarty | Occupational Therapy | Hands On Therapy, LLC | 11 Keller Rd, Pikesville, MD 21208-1308 |
| Candice L Diamond-krupitsky | Occupational Therapy | Hands On Therapy, LLC | 11 Keller Rd, Pikesville, MD 21208-1308 |
| Laura M Coffman | Occupational Therapy | Hands On Therapy, LLC | 11 Keller Rd, Pikesville, MD 21208-1308 |
| Find all physicians in zip 21208 | |||
| City | PIKESVILLE |
| Zip Code | 21208 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PIKESVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Leonard Allison Richardson.
| 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.