NPIMap

Organization Active NPI

Lifestream Health Center

  • Pain Medicine (Anesthesiology) Physician
  • Essex, MD
National Provider Identifier
1174274518
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
LIFESTREAM HEALTH CENTER
Practice address
1308 Eastern Ave
Middlesex Shopping Center
Essex, MD 21221
Phone
(301) 860-0305
NPI assigned
Jan 18, 2022
Last updated
Jan 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Merritt, MDNPI 1730303777
Title
Ceo
Phone
(301) 860-0305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

1308 Eastern Ave
Middlesex Shopping Center
Essex, MD 21221

Mailing address

4000 Mitchellville Rd.
Suite B322
Bowie, MD 20716-1400
Phone (301) 860-0307

National Provider Directory

National Provider Directory
Tax ID family
Lifestream Health Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1174274518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD.",
            "address_2": "SUITE B322",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161400",
            "telephone_number": "301-860-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 EASTERN AVE",
            "address_2": "MIDDLESEX SHOPPING CENTER",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "21221",
            "telephone_number": "301-860-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-860-0305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.