NPIMap

Organization Active NPI

Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
National Provider Identifier
1174815807
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Practice address
1205 York Rd Ste 20
Timonium, MD 21093-6211
Phone
(410) 469-4000
Fax
(410) 653-1296
NPI assigned
May 13, 2011
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Mr. Mary R Wright-Sisk
Title
Director
Phone
(443) 422-9941

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X
Interventional Cardiology Physician 207RI0011X

Addresses

Primary practice location

1205 York Rd Ste 20
Timonium, MD 21093-6211

Mailing address

1205 York Rd Ste 20
Timonium, MD 21093-6211
Phone (410) 469-4000

Other names 1

  • Woodholme Cardiology, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110627000318 MD Part B Supplier - Clinic/Group Practice 3678751468 Receives reassigned benefits from 358 practitioners

National Provider Directory

National Provider Directory

Locations

2629 Riva Rd
Ste 112
Annapolis, MD 21401
Phone (410) 266-1000

900 Caton Ave
Ste 205
Baltimore, MD 21229

940 Madison Ave
Fl 1
Baltimore, MD 21201
Phone (410) 382-1050

940 Madison Ave
Ste 200
Baltimore, MD 21201

2012 S Tollgate Rd
Ste 109
Bel Air, MD 21015
Phone (410) 569-3690

118 Shawan Rd
Ste 220A
Cockeysville, MD 21030

215 Schilling Cir
Ste 100
Hunt Valley, MD 21031

11300 Falls Rd
Lutherville, MD 21093

9649 Belair Rd
#2
Nottingham, MD 21236

9649 Belair Rd
Ste 200
Nottingham, MD 21236
Phone (410) 638-9950

11431 Cronhill Dr
Owings Mills, MD 21117

8116 Harford Rd
Parkville, MD 21234
Phone (410) 665-9300

1700 Reisterstown Rd
Ste 102
Pikesville, MD 21208
Phone (410) 469-5555

1829 Reisterstown Rd
Ste 205
Pikesville, MD 21208
Phone (410) 602-9850

8600 Liberty Rd
Ste 200
Randallstown, MD 21133

515 Fairmount Ave
Ste 200
Towson, MD 21286
Phone (410) 216-1594

7401 Osler Dr
Ste 209
Towson, MD 21204
Phone (410) 583-6800

193 Stoner Ave
Ste 340
Westminster, MD 21157
Phone (410) 871-9800

200 Memorial Ave
Fl 1
Westminster, MD 21157

200 Memorial Ave
Ste 100
Westminster, MD 21157

295 Stoner Ave
Ste 302
Westminster, MD 21157
Phone 4108762003101

826 Washington Rd
Ste 131
Westminster, MD 21157
Phone (410) 751-7246

Practitioners & affiliated clinicians

Practitioners 365

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.

View all 365

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1174815807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 20",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "410-469-4000",
            "fax_number": "410-653-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 20",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "410-469-4000",
            "fax_number": "410-653-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "WRIGHT-SISK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-422-9941",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodholme Cardiology, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Woodholme Cardiology, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.