Lifebridge Community Physicians

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LIFEBRIDGE COMMUNITY PHYSICIANS

Practice address

1011 Baltimore Blvd
Westminster, MD 21157-7055

Phone

(410) 521-2200

Fax

(410) 601-4494

NPI assigned

Jun 15, 2020

Last updated

May 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Rebecca Wright-Sisk

Title

Director

Phone

(443) 422-9941

Specialties & licenses 1

Addresses

Other names 1

• Dr. John Ingari Other name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 3

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.

• Brigitte Grewe, DO

  • Internal Medicine Physician
  • Eldersburg, MD
  • NPI 1982345401
  NPD
• Justin Thomas Zeitler, PA-C

  • Physician Assistant
  • Owings Mills, MD
  • NPI 1235621269
  NPD
• Catherine Nguyen Keegan, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1861656977
  NPD

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1225653272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10084 REISTERSTOWN RD STE 300A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174160",
            "telephone_number": "410-521-2200",
            "fax_number": "410-601-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BALTIMORE BLVD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577055",
            "telephone_number": "410-521-2200",
            "fax_number": "410-601-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "WRIGHT-SISK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-422-9941"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. John Ingari",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Lifebridge Community Gastroenterology, LLC
• Lifebridge Community Physicians Inc
• Lifebridge Community Physicians Inc
• Lifebridge Community Physicians Inc
• Lifebridge Community Physicians Inc
• Lifebridge Community Physicians Inc

• Orthopaedic Surgery Physician in Westminster, MD
• Providers in Westminster, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.