Lifebridge Community Physicians, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Doing business as

Drs Mez, Tan & Sarante

Practice address

1645 Liberty Rd
Suite 204
Eldersburg, MD 21784-6521

Phone

(410) 795-7737

Fax

(410) 795-2828

NPI assigned

Jul 6, 2012

Last updated

Jan 21, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

LIFEBRIDGE COMMUNITY PHYSICIANS, INCAs reported in NPPES

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

Authorized official

Name

Ms. Brian Cawley

Title

Vice President

Phone

(410) 701-4439

Specialties & licenses 1

Addresses

Other names 1

• Drs Mez, Tan & Sarante Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Part of

Lifebridge Community Physicians

Practitioners 1

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.

• Azeb Tesfalidet, M.D.

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1487687521
  NPD

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1902161847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD",
            "address_2": "SUITE 204",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846521",
            "telephone_number": "410-795-7737",
            "fax_number": "410-795-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD",
            "address_2": "SUITE 204",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846521",
            "telephone_number": "410-795-7737",
            "fax_number": "410-795-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PHYSICIANS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEBRIDGE COMMUNITY PHYSICIANS, INC",
        "enumeration_date": "2012-07-06",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "CAWLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-701-4439",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Mez, Tan & Sarante",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liberty Pediatrics, LLC
• Lifebridge Community Gastroenterology, LLC
• Lifebridge Community Physicians Inc
• Lifebridge Community Physicians Inc
• Lifebridge Community Physicians Inc
• Lifebridge Community Physicians, Inc. (BW Primary Care, LLC)
• Lifebridge Sports and Rehabilitation, LLC (Lifebridge Health Physical Therapy in collaboration with NovaCare Rehabilitation)
• Lifebridge Sports Medicine and Rehabilitation LLC
• Lifebridge Sports Medicine and Rehabilitation LLC
• Lifebridge Sports Medicine and Rehabilitation LLC

• Internal Medicine Physician in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.