Lifeoptimized Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFEOPTIMIZED INC.

Practice address

14090 HG Trueman Rd Ste 2300-710
Solomons, MD 20688-3151

Phone

(443) 386-6561

NPI assigned

Oct 2, 2019

Last updated

Jul 2, 2020By 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

Ira R Burcham

Title

Cfo

Phone

(410) 340-6042

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Charles Myron Benner, MD

  • Internal Medicine Physician
  • Solomons, MD
  • NPI 1902872435
  NPD
• Patricia Gurny, M.D.

  • Internal Medicine Physician
  • Solomons, MD
  • NPI 1235245820
  NPD

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1598306409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 INGATE TER",
            "city": "ARBUTUS",
            "state": "MD",
            "postal_code": "212273849",
            "telephone_number": "410-340-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 HG TRUEMAN RD STE 2300-710",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883151",
            "telephone_number": "443-386-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEOPTIMIZED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "BURCHAM",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-340-6042"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Klaassen Hudson, LCSW-C
• Jordan C King, D.C.
• L. Steven Berns, LCSW-C, LTD
• April June Lee, D.C.
• Lifeoptimized - Bennermedical Inc
• Michael Steven Lominac, PT, DPT, CCI
• Lotus Counseling LLC
• Luminis Health Medical Group, LLC
• M Medical Group, Inc (M. Medical Group Solomon's Nursing Rehab)
• Mary Y Ayers, PHD,LCSW-C,LLC

• Family Medicine Physician in Solomons, MD
• Providers in Solomons, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.