Charles Phillip Adamo (NPI# 1063437358, PAC ID# 8022195627) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063437358 |
| PAC ID by PECOS | 8022195627 |
| Professional Enrollment ID | I20101230000774 |
| Full Name | Charles Phillip Adamo |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Address |
2629 Riva Rd Suite 112 Annapolis MD 21401-7428 |
| Phone Number | 4102661000 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678751468 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210023 | ANNE ARUNDEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 | 4102661000 | 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 |
| 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 |
| Jeanpierre Elkhoury | Critical Care (intensivists) | Lifebridge Community Physicians Inc | 5401 Old Court Rd, Randallstown, MD 21133-5103 |
| Street Address |
2629 RIVA RD SUITE 112 |
| City | ANNAPOLIS |
| State | MD |
| Zip | 21401-7428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beje Thomas | Internal Medicine | Mgmc LLC | 2629 Riva Rd, Annapolis, MD 21401-7428 |
| Stephen S Greenspan | Internal Medicine | Lifebridge Community Physicians Inc | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 |
| Patricia M Itzel | Clinical Social Worker | Safe Harbor Behavioral Care Chesapeake LLC | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 |
| Joy Ahanonu | Nurse Practitioner | Lifebridge Community Physicians Inc | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 |
| Asha Vali | Family Medicine | Lifebridge Community Physicians Inc | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 |
| Heather Knox | Clinical Social Worker | Safe Harbor Behavioral Care Chesapeake LLC | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 |
| Jovonsia D. Taylor | Pediatric Medicine | Lifebridge Community Physicians Inc | 2629 Riva Rd, Annapolis, MD 21401-7428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hien T Pham | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Shana R Levy | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Emily C O Meara | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Jennifer Jayne Kungle | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Katherine Hill | Nurse Practitioner | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Kay A Hoskey | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Johann Entinger | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd C, Annapolis, MD 21401-0902 |
| James M Mckee | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adam Lawrence Weaver | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adeleke A Ogunmefun | Psychiatry | 139 Old Solomons Island Rd, Suite A, Annapolis, MD 21401-0902 | |
| Find all physicians in zip 21401 | |||
| City | ANNAPOLIS |
| Zip Code | 21401 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ANNAPOLIS + FAMILY MEDICINE |
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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.