Organization Active NPI

Lifegate Global Health LLC

  • Internal Medicine Physician
  • Nottingham, MD
National Provider Identifier
1346003266
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIFEGATE GLOBAL HEALTH LLC
Practice address
5430 Campbell Blvd
Ste 208
Nottingham, MD 21236
Phone
(443) 823-5066
NPI assigned
Feb 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Zhensheng Li, MD PHD
Title
Ceo
Phone
(443) 823-5066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

5430 Campbell Blvd
Ste 208
Nottingham, MD 21236

Mailing address

5430 Campbell Blvd
Ste 208
Nottingham, MD 21236
Phone (443) 823-5066

Other names 1

  • Lifegate Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1346003266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD",
            "address_2": "STE 208",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "443-823-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD",
            "address_2": "STE 208",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "443-823-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGATE GLOBAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ZHENSHENG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-823-5066",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifegate Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.