Cyrus Hamidi (NPI# 1134102775, PAC ID# 9436174083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134102775 |
| PAC ID by PECOS | 9436174083 |
| Professional Enrollment ID | I20051012000695 |
| Full Name | Cyrus Hamidi |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Address |
913 Ridgebrook Rd Suite 312 Sparks MD 21152-9457 |
| Phone Number | 4104726560 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678751468 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210044 | GREATER BALTIMORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 913 Ridgebrook Rd, Suite 312, Sparks, MD 21152-9457 | 4104726560 | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Witanowski | Internal Medicine | Lifebridge Community Physicians Inc | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 |
| Kimberly S Weiss | Physician Assistant | Lifebridge Community Physicians Inc | 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029-1185 |
| Sam A Zamaria | Obstetrics/gynecology | Lifebridge Community Physicians Inc | 118 Shawan Rd, Suite 220, Cockeysville, MD 21030-1318 |
| Ronald L Broadwater Sr. | General Practice | Lifebridge Community Physicians Inc | 688 Poole Rd, Westminster, MD 21157-6166 |
| Ruchira N Thakor | Family Medicine | Lifebridge Community Physicians Inc | 4 W Rolling Crossroads, Suite 100, Catonsville, MD 21228-6280 |
| Charles Phillip Adamo | Family Medicine | Lifebridge Community Physicians Inc | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 |
| Prema Siva | Internal Medicine | Lifebridge Community Physicians Inc | 8871 Gorman Rd, Laurel, MD 20723-5877 |
| Elvira Pasmanik | Internal Medicine | Lifebridge Community Physicians Inc | 8600 Liberty Rd, Randallstown, MD 21133-4707 |
| Alexander Bogdaschewskyi | Internal Medicine | Lifebridge Community Physicians Inc | 1011 Baltimore Blvd, Westminster, MD 21157-7055 |
| Jeanpierre Elkhoury | Critical Care (intensivists) | Lifebridge Community Physicians Inc | 5401 Old Court Rd, Randallstown, MD 21133-5103 |
| Street Address |
913 RIDGEBROOK RD SUITE 312 |
| City | SPARKS |
| State | MD |
| Zip | 21152-9457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aubrey Richardson | Neurology | Remote Neuromonitoring Physicians PC | 164 English Run Cir, Sparks, MD 21152-8849 |
| Rosanna B Gibbons | Registered Dietitian Or Nutrition Professional | 1112 Lower Glencoe Rd, Sparks, MD 21152-9366 | |
| Matthew J Lepito | Chiropractic | 10 Fila Way, Suite 208, Sparks, MD 21152-9454 |
| City | SPARKS |
| Zip Code | 21152 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SPARKS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Cyrus Hamidi.
| 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.