LIVE LITE MD LLC (NPI# 1942689195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942689195 |
Entity Type | Organization |
Organization Name | LIVE LITE MD LLC |
Practice Address |
100 Walter Ward Blvd Suite 300 Abingdon MD 21009-1284 |
Practice Telephone | 4105693333 |
Enumeration Date | 2015-05-20 |
Last Update Date | 2016-08-02 |
Authorized Official Name | DR. RITU T BHAMBHANI (OWNER) |
Authorized Official Telephone | 4438571416 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
100 WALTER WARD BLVD SUITE 300 |
City | ABINGDON |
State | MD |
Zip Code | 21009-1284 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073501730 | Eileen Coelus | Obstetrics & Gynecology | 100 Walter Ward Blvd, Suite 200, Abingdon, MD 21009-1285 | 2005-10-07 |
1710411558 | Innovative Physical Therapy and Fitness Centers LLC | Clinic/Center | 100 Walter Ward Blvd, Unit 200, Abingdon, MD 21009 | 2017-04-19 |
1508311879 | Assure Healthcare, Inc | General Practice | 100 Walter Ward Blvd, Suite 200, Abingdon, MD 21009-1284 | 2016-08-16 |
1811163652 | Drs Coelus & Kaplan, Asc, LLC | Clinic/Center | 100 Walter Ward Blvd, Suite 200, Abingdon, MD 21009 | 2008-05-01 |
1164697009 | Box Hill Surgery Center LLC | Clinic/Center | 100 Walter Ward Blvd, Suite 300, Abingdon, MD 21009-1284 | 2008-04-22 |
1316133457 | Ritu Bhambhani LLC | Specialist | 100 Walter Ward Blvd, Suite 300, Abingdon, MD 21009-1284 | 2007-09-21 |
1124213947 | Eileen Coelus, Md, LLC | Specialist | 100 Walter Ward Blvd, Suite 200, Abingdon, MD 21009 | 2007-09-14 |
1053394130 | Ritu T Bhambhani | Anesthesiology | 100 Walter Ward Blvd, Suite 300, Abingdon, MD 21009-1284 | 2005-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033657986 | Cpdg,ab, LLC | Dentist | 3400 Box Hill Corporate Center Drive, Suite 120, Abingdon, MD 21009 | 2017-02-10 |
1356734230 | Pardis Parizadeh | Dentist | 3435 Box Hill Corporate Center Dr Ste E, Abingdon, MD 21009 | 2015-03-16 |
1033529391 | Ademola O Cole | Dentist | 3486 C Emmorton Road, Abingdon, MD 21009 | 2014-05-07 |
1144649336 | Troy Michael Englehart II | Contractor | 1401 Pulaski Higjway, F, Edgewood, MD 21009 | 2014-04-15 |
1376964726 | Jessica L Brinegar | Physical Therapist | 3465 Box Hill Corporate Center Dr Ste G, Abingdon, MD 21009 | 2014-01-01 |
1790024016 | Pamela S Baer | Psychologist | 3105 Emmorton Road, Abingdon, MD 21009 | 2013-02-06 |
1205028271 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 3491 Merchant Boulevard, Suite 108, Abingdon, MD 21009 | 2007-08-14 |
1306037627 | Jacquelin Landsman | Physical Therapist | Upper Chesapeake Orthopedics: Center for Sports Med, 101 Walter Ward Blvd, Abingdon, MD 21009 | 2007-08-05 |
1144373911 | Carol L Bowman | Internal Medicine | 3445 E Box Hill Corporate Center Drive, Abingdon, MD 21009 | 2007-01-18 |
1750467338 | Michael Kevin Block | Podiatrist | 3401 Box Hill Corporate Ctr Dr, Suite 201, Abingdon, MD 21009 | 2006-10-27 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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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.