Springside Health PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPRINGSIDE HEALTH PC

Practice address

5301 Buckeystown Pike Ste 220
Frederick, MD 21704-8360

Phone

(410) 357-1125

Fax

(410) 357-1125

NPI assigned

May 13, 2026

Organization subpart

No

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

Authorized official

Name

Jodi Bosanko

Title

Office Manager

Phone

(410) 357-1125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Springside Health PC

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1548121403

  9133608839

  Same PAC ID

Tax ID family

Springside Health PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Springside Health PC

  • Family Medicine Physician
  • Bowie, MD
  • NPI 1144158569
  NPD tax ID
• Springside Health PC

  • Family Medicine Physician
  • Silver Spring, MD
  • NPI 1306774724
  NPD tax ID
• Springside Health PC

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1548121403
  NPD tax ID

Locations

Practitioners 1

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

• Daniel George Firth, M.D.

  • Hospitalist Physician
  • Safety Harbor, FL
  • NPI 1144532177

  Family Medicine, MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1881522209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 RIDGELY AVE STE 140",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011069",
            "telephone_number": "410-357-1125",
            "fax_number": "410-357-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 220",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048360",
            "telephone_number": "410-357-1125",
            "fax_number": "410-357-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGSIDE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "BOSANKO",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-357-1125"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sade Spriggs
• Spring Ridge Chiropractic, LLC
• Spring Ridge Physical Therapy
• Spring Ridge Physical Therapy
• Audrianna Springer
• Mark Douglas Springston, PHD
• Hannah Sproat, MS, CCC-SLP
• Ila Srivastava, PHARMD
• Sokpheary Srorn, M.D.
• Kathleen St Jacques, FNP-BC

• Family Medicine Physician in Frederick, MD
• Providers in Frederick, 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 May 13, 2026; 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.