NPIMap

Organization Active NPI

Lifebridge Community Physicians Inc

  • Cardiovascular Disease Physician
  • Lutherville, MD
National Provider Identifier
1740086149
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Practice address
10803 Falls Rd Ste 3100
Lutherville, MD 21093-4582
Phone
(410) 469-4000
Fax
(410) 469-4074
NPI assigned
Feb 25, 2025
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

10803 Falls Rd Ste 3100
Lutherville, MD 21093-4582

Mailing address

10803 Falls Rd Ste 3100
Lutherville, MD 21093-4582
Phone (410) 469-4000

Other names 1

  • Woodholme Cardiology at Lutherville, 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
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Lifebridge Community Phyinc148 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2700 Quarry Lake Dr
Ste 250
Baltimore, MD 21209
Phone (443) 471-3288

2012 S Tollgate Rd
Ste 111
Bel Air, MD 21015
Phone (410) 560-6931

500 Upper Chesapeake Dr
Spc Of
Bel Air, MD 21014
Phone (410) 638-9950

1319 Woodbridge Station Way
Edgewood, MD 21040
Phone (223) 254-9481

118 Shawan Rd
Fl 2
Hunt Valley, MD 21030
Phone (410) 469-4911

118 Shawan Rd
Ste 200
Hunt Valley, MD 21030
Phone (410) 469-4981

20 Crossroads Dr
Ste 101
Owings Mills, MD 21117
Phone (410) 902-0277

16 Greenmeadow Dr
Ste G105
Timonium, MD 21093
Phone (410) 561-5773

688 Poole Rd
Westminster, MD 21157
Phone (410) 857-8202

Practitioners & affiliated clinicians

Practitioners 349

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 349

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1740086149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 FALLS RD STE 3100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934582",
            "telephone_number": "410-469-4000",
            "fax_number": "410-469-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 FALLS RD STE 3100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934582",
            "telephone_number": "410-469-4000",
            "fax_number": "410-469-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "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": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodholme Cardiology at Lutherville, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.