Active NPI
Springside Health PC
- Family Medicine Physician
- Bowie, MD
National Provider Identifier
1144158569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SPRINGSIDE HEALTH PC
- Practice address
- 17001 Science Dr Ste 116-117
Bowie, MD 20715-4329 - Phone
- (410) 357-1125
- Fax
- (410) 357-1125
- NPI assigned
- May 13, 2026
- Last updated
- May 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi Bosanko
- Title
- Office Manager
- Phone
- (410) 357-1125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
17001 Science Dr Ste 116-117
Bowie, MD 20715-4329
Mailing address
647 Ridgely Ave Ste 140
Annapolis, MD 21401-1069
Phone (410) 357-1125
National Provider Directory
National Provider Directory- Tax ID family
- Springside Health PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Silver Spring, MD
- NPI 1306774724
-
- Family Medicine Physician
- Columbia, MD
- NPI 1548121403
-
- Family Medicine Physician
- Frederick, MD
- NPI 1881522209
Locations
17001 Science Dr
Ste 116117
Bowie, MD 20715
Phone (410) 357-1125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1144158569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 RIDGELY AVE STE 140",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011069",
"telephone_number": "410-357-1125",
"fax_number": "410-357-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17001 SCIENCE DR STE 116-117",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154329",
"telephone_number": "410-357-1125",
"fax_number": "410-357-1125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGSIDE HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "BOSANKO",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "410-357-1125"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
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- Irene A St Paul, CRNA
- Erica St. Bernard
- Christie Marie Stack-Sides, M.S.PT
- Tara K. Stack, MSW, LCSW-C
- Stacy J Spence & Associates LLC (Tranquil Gardens Home Care Management)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.