LIFEBRIDGE MULTI-SPECIALTY, LLC (NPI# 1972978625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972978625 |
| Entity Type | Organization |
| Organization Name | LIFEBRIDGE MULTI-SPECIALTY, LLC |
| Practice Address |
41 Magna Way Suite 100 Westminster MD 21157-3073 |
| Practice Telephone | 4107516684 |
| Practice Fax Number | 4107512371 |
| Mailing Telephone | 4107516684 |
| Mailing Fax Number | 4107512371 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | MS. MARY R WRIGHT-SISK (DIRECTOR) |
| Authorized Official Telephone | 4107014439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
41 MAGNA WAY SUITE 100 |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699730010 | Renee J Orlando-hart | Nurse Practitioner | 41 Magna Way, Suite 100, Westminster, MD 21157-3008 | 2006-04-19 |
| 1043696123 | Core Concepts Physical Therapy and Pilates | Clinic/Center | 41 Magna Way, Suite 140, Westminster, MD 21157-3073 | 2015-07-30 |
| 1912275926 | Dennis Vinias | Physician Assistant | 41 Magna Way, Suite # 100, Westminster, MD 21157-3073 | 2011-12-05 |
| 1952448482 | Johnston Family Medicine LLC | Specialist | 41 Magna Way, Suite 100, Westminster, MD 21157-3008 | 2007-02-01 |
| 1972568913 | Kimberly Ann Johnston Deltuva | Family Medicine | 41 Magna Way, Suite 100, Westminster, MD 21157-3008 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235749623 | 360 Family Clinic, Inc. | Family Medicine | 14361 Beach Blvd Ste 203, Westminster, CA 92683-8140 | 2020-07-31 |
| 1154886406 | Elite Care Medical Group, Inc | Family Medicine | 13794 Beach Blv, Suite B, Westminster, CA 92683-4036 | 2019-01-31 |
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| 1952837312 | Hung Chung, Md, Inc. | Family Medicine | 14807 Harmony Ln, Westminster, CA 92683-5852 | 2017-05-04 |
| 1881043016 | Lucas Couch | Family Medicine | 444 Wmc Dr Ste 100, Westminster, MD 21158-4337 | 2016-06-08 |
| 1972965549 | Gray K Edwards | Family Medicine | 14300 Orchard Pkwy Fl 1, Westminster, CO 80023-9206 | 2016-03-23 |
| 1124486337 | Lifebridge Community Physicians, Inc. | Family Medicine | 688 Poole Rd, Westminster, MD 21157-6166 | 2016-02-02 |
| 1285011684 | Camri J Mcginn | Family Medicine | 10081 Wadsworth Pkwy, Westminster, CO 80021-3805 | 2015-05-05 |
| 1033465802 | Christina M Zarza | Family Medicine | 8510 Bryant St Ste 210, Westminster, CO 80031-3845 | 2012-07-31 |
| 1366717084 | Joseph Nguyen Do Inc | Family Medicine | 14571 Magnolia St Ste 105, Westminster, CA 92683-5575 | 2012-03-13 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.