LIFEBRIDGE SUBURBAN PHYSICIANS GROUP, LLC (NPI# 1477102309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477102309 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE SUBURBAN PHYSICIANS GROUP, LLC |
| Other Organization Name | LIFEBRIDGE ENDOCRINOLOGY ASSOCAITES |
| Practice Address |
4 W Rolling Cross Road Suite 100 Catonsville MD 21228-6280 |
| Mailing Address |
535 Old Westminster Pike Ste 102 Westminster MD 21157-6269 |
| Practice Telephone | 4103681370 |
| Practice Fax Number | 4107447464 |
| Mailing Telephone | 4108716831 |
| Mailing Fax Number | 4108716325 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MARY REBECCA WRIGHT-SISK (DIRECTOR) |
| Authorized Official Telephone | 4107014439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LifeBridge Endocrinology Assocaites | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5450 Knoll North Dr Ste 100, Columbia, MD 210452366 | 4103681370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366807885 | Lifebridge Suburban Physicians Group, LLC | Internal Medicine | 2700 Quarry Lake Dr, Suite 280, Baltimore, MD 21209-3742 | 2015-12-29 |
| Street Address |
4 W ROLLING CROSS ROAD SUITE 100 |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-6280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1285282046 | Lee Scott Weinstein | Internal Medicine | 10 Center Drive Bldg 10 Rm8c101, Bethesda, MD 20892-0001 | 2019-08-26 |
| 1811453475 | Leila Shobab | Internal Medicine | 5514 Greentree Rd, Bethesda, MD 20817-3548 | 2019-02-19 |
| 1558825307 | Ideal Endocrinology LLC | Internal Medicine | 3000 Chestnut Ave Ste 202, Baltimore, MD 21211-2794 | 2019-01-25 |
| 1912475633 | Jocelyn Uriostegui | Internal Medicine | 108 Forbes St # 2, Annapolis, MD 21401-1502 | 2018-11-12 |
| 1104300334 | Johns Hopkins University | Internal Medicine | 1700 N Caroline St, Baltimore, MD 21213-2204 | 2018-09-24 |
| 1356857643 | Capital Diabetes & Endocrine Associates LLC | Internal Medicine | 5801 Allentown Rd Ste 500, Camp Springs, MD 20746-4518 | 2017-12-21 |
| 1427567163 | Phillip Gorden | Internal Medicine | 10 Center Dr Building 10/crc Room 6-5940, Bethesda, MD 20892-0001 | 2017-09-26 |
| 1366986739 | Maryland Medical Center, LLC | Internal Medicine | 8100 Sandpiper Cir Ste 100, Nottingham, MD 21236-5028 | 2016-12-05 |
| 1174079180 | Theresa Kehoe | Internal Medicine | 11712 Lovejoy St, Silver Spring, MD 20902-1637 | 2016-08-30 |
| 1326420589 | Trophogen, Inc. | Internal Medicine | 9714 Medical Center Dr, Suite 1114, Rockville, MD 20850-3773 | 2015-06-24 |
| Find all providers with the same taxonomy | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on LIFEBRIDGE SUBURBAN PHYSICIANS GROUP, LLC.
| 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.