Michael Stanley Siuta
LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC


Address: 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
Phone: 4108634899

Michael Stanley Siuta (NPI# 1740274281, PAC ID# 2567492382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1740274281
PAC ID by PECOS 2567492382
Professional Enrollment ID I20101109000072
Full Name Michael Stanley Siuta
Organization Legal Name LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC
Address 802 Landmark Dr
Suite 129
Glen Burnie
MD 21061-9121
Phone Number 4108634899
Gender M
Medical School UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty GASTROENTEROLOGY
Group Practice PAC ID 7618108119
Number of Group Practice Members 24
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210043 UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER
210034 MEDSTAR HARBOR HOSPITAL

Other Locations

Address Phone Organization
516 N Rolling Rd, Suite 204, Catonsville, MD 21228-4187 4106027782 LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC
802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121 4108634899 LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC
1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208-7103 4106027782 LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC

Organization Information

Organization Legal Name LIFEBRIDGE COMMUNITY GASTROENTEROLOGY LLC
Physicians 22

Physicians with the same organization

Name Specialty Organization Address
Christina Fang Nurse Practitioner Lifebridge Community Gastroenterology LLC 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208-7103
Todd Heller Gastroenterology Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
Aminat Oluyemi Gastroenterology Lifebridge Community Gastroenterology LLC 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208-7103
Calvin Parker Gastroenterology Lifebridge Community Gastroenterology LLC 4801 Dorsey Hall Dr, Suite 220, Ellicott City, MD 21042-7749
James D Shaffer Physician Assistant Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
Loc Trong Le Gastroenterology Lifebridge Community Gastroenterology LLC 1838 Greene Tree Rd, Suite 180, Pikesville, MD 21208-7100
Moncheri H Adebayo Nurse Practitioner Lifebridge Community Gastroenterology LLC 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208-7103
Edward Wolf Gastroenterology Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
Kenolisa C Onwueme Internal Medicine Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
Eric B Blum Internal Medicine Lifebridge Community Gastroenterology LLC 1838 Greene Tree Rd, Suite 180, Pikesville, MD 21208-7100

Office Location

Street Address 802 LANDMARK DR
SUITE 129
City GLEN BURNIE
State MD
Zip 21061-9121

Physicians in the same location

Name Specialty Organization Address
Todd Heller Gastroenterology Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
James D Shaffer Physician Assistant Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
Edward Wolf Gastroenterology Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
Kenolisa C Onwueme Internal Medicine Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
Arjun Vaid Gastroenterology Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121
Ernest Tsao Gastroenterology Lifebridge Community Gastroenterology LLC 802 Landmark Dr, Suite 129, Glen Burnie, MD 21061-9121

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Competitor

Search similar physicians

City GLEN BURNIE
Zip Code 21061
Specialty GASTROENTEROLOGY
City + Specialty GLEN BURNIE + GASTROENTEROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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