LIFEBRIDGE COMMUNITY PHYSICIANS INC (NPI# 1952736886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952736886 |
Entity Type | Organization |
Organization Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
Other Organization Name | LIFEBRIDGE CARDIOLOGY OF BELVEDERE, LLC |
Practice Address |
2411 W Belvedere Ave Suite 401 Baltimore MD 21215-5228 |
Practice Telephone | 4106019355 |
Mailing Telephone | 4106019355 |
Enumeration Date | 2013-09-11 |
Last Update Date | 2013-09-11 |
Authorized Official Name | MARY WRIGHT-SISK (DIRECTOR) |
Authorized Official Telephone | 4107014439 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
LifeBridge Cardiology of Belvedere, LLC | Doing Business As Name - Organization |
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 |
Street Address |
2411 W BELVEDERE AVE SUITE 401 |
City | BALTIMORE |
State | MD |
Zip Code | 21215-5228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922008200 | Gerald Barry Feldman | Obstetrics & Gynecology | 2411 W Belvedere Ave, 201, Baltimore, MD 21215-5228 | 2005-07-28 |
1659841971 | Chayeh Saunders | Nurse Practitioner | 2411 W Belvedere Ave, Baltimore, MD 21215-5228 | 2018-11-29 |
1265893911 | Lunis and Assiociates Pediatrics | Pediatrics | 2411 W Belvedere Ave, Suite 303, Baltimore, MD 21215-5228 | 2016-03-09 |
1831573179 | Julius Boateng, M.d. PC | Internal Medicine | 2411 W Belvedere Ave, Suite 201, Baltimore, MD 21215-5228 | 2015-07-16 |
1902287121 | Lifebridge Community Physicians, Inc | Internal Medicine | 2411 W Belvedere Ave, Suite 504, Baltimore, MD 21215-5228 | 2015-06-12 |
1174915243 | Barry Bloom | Pharmacist | 2411 W Belvedere Ave, Baltimore, MD 21215-5228 | 2015-02-26 |
1073905402 | Ilona Dennen | Pharmacist | 2411 W Belvedere Ave, Baltimore, MD 21215-5228 | 2015-02-23 |
1376956151 | Lauren Alyse Sielert Dhar | Ophthalmology | 2411 W Belvedere Ave, Baltimore, MD 21215 | 2014-06-09 |
1366707192 | Steven E. Caplan, M.d. P.a. | Pediatrics | 2411 W Belvedere Ave, Suite 508, Baltimore, MD 21215-5228 | 2012-07-09 |
1982962940 | Sinai Hospital of Baltimore, Inc | Optometrist | 2411 W Belvedere Ave, 6th Floor, Baltimore, MD 21215-5228 | 2012-04-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
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Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
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 |
---|---|---|---|---|
1487118048 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-01-29 |
1649553942 | Arrhythmia Associates of Maryland | Internal Medicine | 2000 W Baltimore St, 2nd Floor, Baltimore, MD 21223-1558 | 2011-09-22 |
1891006300 | Aditya Saini | Internal Medicine | 3333 N Calvert St, Baltimore, MD 21218 | 2010-06-30 |
1609058890 | Alejandro Jimenez Restrepo | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-11-29 |
1801891080 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710174172 | Prakash Goutham Beleyur Suryanarayana | Internal Medicine | 106 Milford St Ste 605, Salisbury, MD 21804-6938 | 2007-10-01 |
1518902212 | Bulent R Zaim | Internal Medicine | 1204 West St, Annapolis, MD 21401-3610 | 2006-06-17 |
1528411253 | Scott D. Shapiro M.d., Ph.d., LLC | Internal Medicine | 5530 Wisconsin Ave, Suite 711, Chevy Chase, MD 20815-4404 | 2016-07-18 |
1295168789 | Baltimore Arrhythmia Consultants Pa | Internal Medicine | 600 Reisterstown Rd, Suite 301, Pikesville, MD 21208-5104 | 2013-08-20 |
1174815807 | Lifebridge Community Physicians, Inc | Internal Medicine | 1838 Greene Tree Rd, Suite 535, Pikesville, MD 21208-6391 | 2011-05-13 |
1518269554 | Chesapeake Cardiovascular Specialists PC | Internal Medicine | 128 Lubrano Dr, Suite 201, Annapolis, MD 21401-7028 | 2010-11-24 |
1669774808 | Heart Rhythm Specialists | Internal Medicine | 7501 Surratts Rd, 208a, Clinton, MD 20735-3362 | 2010-11-19 |
1609195320 | Johns Hopkins Regional Physicians LLC | Internal Medicine | 10710 Charter Dr, Ste 400, Columbia, MD 21044 | 2010-05-20 |
1891979001 | Minesh Ranchhodbhai Patel | Internal Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2007-12-24 |
1104961788 | Brett D. Roberts | Internal Medicine | 7601 Osler Dr, Towson, MD 21204-7700 | 2007-02-21 |
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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.