LIFEBRIDGE COMMUNITY PHYSICIANS INC
Surgery

Address: 2700 Quarry Lake Dr Ste 220, Baltimore, MD 21209-3769

LIFEBRIDGE COMMUNITY PHYSICIANS INC (NPI# 1508445826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508445826
Entity Type Organization
Organization Name LIFEBRIDGE COMMUNITY PHYSICIANS INC
Practice Address 2700 Quarry Lake Dr Ste 220
Baltimore
MD 21209-3769
Practice Telephone 4104695555
Practice Fax Number 4104694811
Mailing Address 2700 Quarry Lake Dr Ste 220
Baltimore
MD 21209-3769
Mailing Telephone 4104695555
Mailing Fax Number 4104694811
Certification Date 2021-04-05
Enumeration Date 2021-04-05
Last Update Date 2021-04-05
Authorized Official Telephone 4107014439
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 208600000X Surgery 193400000X SINGLE SPECIALTY GROUP Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Dr. Benjamin Schultz Other Name

Provider Secondary Practice Locations

Address Telephone Number Fax Number
2435 W Belvedere Ave Ste 46, Baltimore, MD 212155224 4104695555 4104694811
2401 W Belvedere Ave, Baltimore, MD 212155216 4104695555 4104694811
5401 Old Court Rd, Randallstown, MD 211335103 4104695555 4104694811

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1477160984 Lifebridge Community Physicians Inc Internal Medicine - Gastroenterology 8875 Centre Park Dr Ste D, Columbia, MD 21045-2382 2020-09-29
1952736886 Lifebridge Community Physicians Inc · Lifebridge Cardiology of Belvedere, LLC Internal Medicine - Clinical Cardiac Electrophysiology 2411 W Belvedere Ave, Suite 401, Baltimore, MD 21215-5228 2013-09-11

Office Location

Street Address 2700 QUARRY LAKE DR STE 220
City BALTIMORE
State MD
Zip Code 21209-3769

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538197843 Aarti Kapoor Internal Medicine 2700 Quarry Lake Dr Ste 280, Baltimore, MD 21209-3769 2006-06-28

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1659996239 Esther Deena Kahn Occupational Therapist 2325 Blackberry Rd, Baltimore, MD 21209 2020-06-10
1356988059 Bunny's Home Care, LLC Home Health Aide 1340 Smith Avenue, Baltimore, MD 21209 2019-12-02
1982161246 Sylvia Stewart Powell Social Worker - Clinical 4600 Falls Road, Baltimore, MD 21209 2019-02-22
1326513169 Nicole Ellerbe Massage Therapist 5550 Newbury Street, Suite A Office E, Baltimore, MD 21209 2018-10-08
1417448861 Ting-Jia Rosalinda Huang Lorigiano Student in an Organized Health Care Education/Training Program 581 Smith Avenue, Suite 210, Baltimore, MD 21209 2018-05-22
1427546126 Lea Jane Selitsky Student in an Organized Health Care Education/Training Program The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 2018-04-27
1508362609 Total Women's Health of Baltimore,Pa Obstetrics & Gynecology 6080 Falls Rd Ste 204, Baltimore, MD 21209 2018-04-05
1083118418 Jerome N Beck Speech-Language Pathologist 5710 Newbury St., Baltimore, MD 21209 2018-03-21
1730673096 Jessie Lyn Jaskulsky Speech-Language Pathologist 7224 Denberg Rd, Baltimore, MD 21209-1006 2018-06-20
1356804330 Lillian Blank Speech-Language Pathologist 9 Hurdleford Ct, Baltimore, MD 21209-1070 2019-04-08
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093274094 Patrick Bou-Samra Surgery 1800 Orleans St # Tower110, Baltimore, MD 21287-0010 2019-03-19
1356806236 Post-Acute Care & Geriatric Surgery LLC Surgery 111 Hamlet Hill Rd Unit 911, Baltimore, MD 21210-1513 2019-02-05
1336639541 Brett James Matoian Surgery 900 Caton Ave # Ms 207, Baltimore, MD 21229-5201 2018-05-14
1770934788 Saurabh Gupta Surgery 15 S Exeter St, Baltimore, MD 21202-4603 2016-06-30
1477942555 John Alan Singer Surgery 24 Roland Green, Baltimore, MD 21210 2015-01-13
1013311067 Joseph Alden Herrold Surgery 22 S Greene St Rm S4d03, Baltimore, MD 21201-1544 2014-10-20
1336554716 Jafar Haghshenas Surgery 1800 Orleans St # 6107, Baltimore, MD 21287-0010 2014-06-24
1477895266 Anna Liveris Surgery 22 S Greene St # T1r53, Baltimore, MD 21201 2013-03-20
1538411657 Sidney S. Mir Surgery 7905 Ellenham Ave, Baltimore, MD 21204-3523 2012-10-12
1285980854 Noeline Rajarajan I Surgery 3449 Wilkens Ave Ste 100, Baltimore, MD 21229-5216 2012-08-01
Find all providers in BALTIMORE

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City BALTIMORE
Zip Code 21209

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Dataset Information

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.

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