NPIMap

Organization Active NPI

Lifebridge Community Pulmonology, LLC

  • Pulmonary Disease Physician
  • Owings Mills, MD
National Provider Identifier
1992526149
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LIFEBRIDGE COMMUNITY PULMONOLOGY, LLC
Practice address
23 Crossroads Dr Ste 325
Owings Mills, MD 21117-5478
Phone
(410) 484-5686
Fax
(410) 484-6472
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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) 623-8926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

23 Crossroads Dr Ste 325
Owings Mills, MD 21117-5478

Mailing address

23 Crossroads Dr Ste 325
Owings Mills, MD 21117-5478
Phone (410) 484-5686

Other names 1

  • Lung & Sleep Centers of MD at Crossroads Other name

National Provider Directory

National Provider Directory
Tax ID family
Lifebridge Community Pulmonology LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

23 Crossroads Dr
Ste 325
Owings Mills, MD 21117
Phone (410) 363-8777

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1992526149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR STE 325",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175478",
            "telephone_number": "410-484-5686",
            "fax_number": "410-484-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR STE 325",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175478",
            "telephone_number": "410-484-5686",
            "fax_number": "410-484-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMMUNITY PULMONOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "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": "443-623-8926"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lung & Sleep Centers of MD at Crossroads",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lung & Sleep Centers of MD at Crossroads",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.