Lifebridge Investments

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1490 Issued in MD

Legal business name

LIFEBRIDGE INVESTMENTS

Doing business as

Lifebridge Community Practices dba Clinical Associates Specialists

Practice address

750 Main St
Suite 301a
Reisterstown, MD 21136-2515

Phone

(410) 526-3060

Fax

(410) 526-3091

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Suzanne Beasley Thomas

Title

Director

Phone

(410) 494-1212

Specialties & licenses 1

Addresses

Other names 1

• Lifebridge Community Practices dba Clinical Associates Specialists Doing business as

Tax ID family

Lifebridge Investments2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lifebridge Community Practice

  dba Clinical Associates Specialist

  • Audiologist
  • Reisterstown, MD
  • NPI 1730508441
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lifebridge Investments, Inc

  dba LifeBridge Community Practices, LLC d/b/a Clinical Associates ASC

  • Endoscopy Clinic/Center
  • Towson, MD
  • NPI 1861689382
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Stone Baxt, M.D.

  • General Practice Physician
  • Reisterstown, MD
  • NPI 1285684704
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1174856645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "CREDENTIALING",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "SUITE 301A",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362515",
            "telephone_number": "410-526-3060",
            "fax_number": "410-526-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE INVESTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "BEASLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-494-1212"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifebridge Community Practices dba Clinical Associates Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudio Ariel Levin, M.D.
• Mary Ann C. Ley, DC
• Beth Grubb Li, L.AC.
• Lori Lickstein, LGSW
• Lifebridge Community Practice (Clinical Associates Specialist)
• Lifebridge Sports Medicine & Rehabilitation, LLC
• Lifebridge Sports Medicine and Rehabilitation LLC (Lifebridge Health Physical Therapy)
• Howard Mark Lipman, DC
• Therese Ann Litofsky, PT
• LK-Therapy

• Optometrist in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.