LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC (NPI# 1033558416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033558416 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE COMMUNITY GASTROENTEROLOGY, LLC |
| Other Organization Name | WOODHOLME GASTROENTEROLOGY ASSOCIATES |
| Practice Address |
1838 Greene Tree Rd Suite 400 Pikesville MD 21208-6391 |
| Practice Telephone | 4106027782 |
| Practice Fax Number | 4106029344 |
| Mailing Telephone | 4106027782 |
| Mailing Fax Number | 4106029344 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-10-25 |
| Authorized Official Name | MARY WRIGHT-SISK (DIRECTOR) |
| Authorized Official Telephone | 4107014547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Woodholme Gastroenterology Associates | Doing Business As Name - Organization |
| Street Address |
1838 GREENE TREE RD SUITE 400 |
| City | PIKESVILLE |
| State | MD |
| Zip Code | 21208-6391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356855068 | Brittany Ann Easter | Nurse Practitioner | 1838 Greene Tree Rd, Pikesville, MD 21208-6391 | 2017-11-17 |
| 1851843502 | Kenneth Agboifo | Pharmacist | 1838 Greene Tree Rd, Ste 100, Pikesville, MD 21208-6391 | 2016-10-28 |
| 1194275453 | Lifebridge Community Physicians, Inc. | Internal Medicine | 1838 Greene Tree Rd, Suite 300, Pikesville, MD 21208-6391 | 2016-10-11 |
| 1881065886 | Noam Eitan | Physical Therapist | 1838 Greene Tree Rd, Ste 290, Pikesville, MD 21208-6391 | 2015-10-15 |
| 1063810836 | Allison Heussler | Pharmacist | 1838 Greene Tree Rd, Pikesville, MD 21208-6391 | 2014-12-10 |
| 1295148062 | Karen Babitt, Md,llc | Internal Medicine | 1838 Greene Tree Rd, Ste.300, Pikesville, MD 21208-6391 | 2014-06-09 |
| 1154741585 | Lifebridge Community Pulmonology, LLC | Internal Medicine | 1838 Greene Tree Rd, Suite 350, Pikesville, MD 21208-6391 | 2014-04-24 |
| 1053654814 | Gbenga Adeyemi Adeyeye | Physician Assistant | 1838 Greene Tree Rd, Ste 135, Pikesville, MD 21208-7108 | 2013-03-30 |
| 1861730863 | Justyna Brys Mira | Nurse Practitioner | 1838 Greene Tree Rd, Suite 150, Pikesville, MD 21208-6391 | 2013-01-25 |
| 1023355286 | Center for Pain Management, LLC | Pain Medicine | 1838 Greene Tree Rd, Suite 150, Pikesville, MD 21208-6391 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1477160984 | Lifebridge Community Physicians Inc | Internal Medicine | 8875 Centre Park Dr Ste D, Columbia, MD 21045-2382 | 2020-09-29 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1093354698 | Urooj Ahmed | Internal Medicine | 11110 Medical Campus Rd Ste 250, Hagerstown, MD 21742-6756 | 2019-12-30 |
| 1588155733 | Maryland Inpatient Specialist LLC | Internal Medicine | 10110 Molecular Dr Ste 109, Rockville, MD 20850-7538 | 2018-05-23 |
| 1750709333 | Alireza Meighani | Internal Medicine | 7501 Surratts Rd Ste 206, Clinton, MD 20735-3373 | 2014-04-01 |
| 1689912677 | Donald Edward Wilson | Internal Medicine | 20 Penn St, Baltimore, MD 21201-1075 | 2013-01-25 |
| 1124374418 | Ruhail Kohli | Internal Medicine | 4940 Eastern Ave Fl 5, Baltimore, MD 21224 | 2012-07-24 |
| 1922364959 | Huimin Yu | Internal Medicine | 600 N Wolfe St Bldg 9, Baltimore, MD 21287-0005 | 2012-04-04 |
| 1700175635 | David Stuart Jencks | Internal Medicine | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401 | 2011-03-31 |
| 1134438575 | Boo Keun Kim, Md, Pa | Internal Medicine | 8921 Shady Grove Court, Gaithersburg, MD 20877-1308 | 2010-10-04 |
| Find all providers with the same taxonomy | ||||
| City | PIKESVILLE |
| Zip Code | 21208 |
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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.