Lifebridge Metropolitan Physician Group II, LLC
Pediatrics

Address: 1 E University Pkwy Unit 109, Baltimore, MD 21218-2432
Phone: 4102351601

Lifebridge Metropolitan Physician Group II, LLC (NPI# 1790321172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1790321172
Entity Type Organization
Organization Name LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC
Practice Address 1 E University Pkwy Unit 109
Baltimore
MD 21218-2432
Practice Telephone 4102351601
Practice Fax Number 4104676881
Mailing Address 535 Old Westminster Pike Ste 102
Westminster
MD 21157-6269
Mailing Telephone 4108716831
Mailing Fax Number 4108716325
Authorized Official Name Mary R Wright-sisk (DIRECTOR)
Authorized Official Telephone 4104695120
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name LIFEBRIDGE METROPOLITAN PHYSICIAN GROUP II, LLC
Enumeration Date 2019-11-21
Last Update Date 2019-11-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Village Pediatrics Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1457818338 Lifebridge Metropolitan Physician Group II, LLC Nurse Practitioner 2401 W Belvedere Ave, Baltimore, MD 21215-5216 2019-02-27

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528534062 Baltimore City Health Department Pediatrics 1301 Mcculloh St, Baltimore, MD 21217-3044 2018-10-23
1730664012 Privia Care Center LLC Pediatrics 301 Saint Paul St Ste 409, Baltimore, MD 21202-2102 2018-10-02
1386147932 Das Pediatrics Pediatrics 821 N Eutaw St Ste 305, Baltimore, MD 21201-6303 2018-03-09
1184142762 Marieta S Caragay,m.d. Pediatrics 3455 Wilkens Ave Ste 102, Baltimore, MD 21229-5204 2017-09-05
1538525456 Catherine Deangelis Pediatrics 200 Tuscany Rd, Baltimore, MD 21210-3010 2016-01-07
1275913881 Agape Health Systems Pediatrics 2300 Garrison Blvd Ste 130, Baltimore, MD 21216-2316 2015-06-09
1235541459 Ariela Sarah Taub Pediatrics 2 Hamill Rd Ste 405, Baltimore, MD 21210-1839 2014-05-22
1992135271 Ejemeh Okojie Md Pa Inc Pediatrics 1825 Woodlawn Dr, Suite 201, Baltimore, MD 21207-4080 2013-11-22
1629417209 Rachel Miriam Cane Pediatrics 60 N Wolfe Street, Children's Center Bloomberg 9411, Baltimore, MD 21287-0005 2013-06-17
1861831596 Adebola Matthew Giwa Pediatrics 200 N Wolfe St Rm 3115, Baltimore, MD 21287-0011 2013-06-16
Find all providers in BALTIMORE

Office Location

Street Address 1 E UNIVERSITY PKWY UNIT 109
City BALTIMORE
State MD
Zip Code 21218-2432

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851933725 Tierra Bouyer Speech-Language Pathologist 2040 East 32nd Street, Baltimore, MD 21218 2019-10-12
1093273559 Brenda H. Wells Social Worker 200 E. North Ave., Baltimore, MD 21218 2019-03-04
1619441011 Harwood Behavioral Health Partners, LLC Community/Behavioral Health 2514 Greenmount Avenue, Baltimore, MD 21218 2019-01-18
1649740291 Elise Christine Starkey Occupational Therapist 801 Argonne Drive, Baltimore, MD 21218 2018-11-27
1851861421 Alagra S Bass Social Worker 1900 N. Howard Street Suite 300, Baltimore, MD 21218 2018-11-27
1396213575 Desiree Luerene Israel Social Worker 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 2018-11-06
1952885451 Harwood Behavioral Health Partners, LLC Clinic/Center 2514 Greenmount Ave, Baltimore, MD 21218 2018-09-20
1528548047 Rozi Khan Student in an Organized Health Care Education/Training Program 325 East University Pkwy 1-3, Bltimore, MD 21218 2018-08-14
1558866202 Prabij N/a Dhungana Student in an Organized Health Care Education/Training Program 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 2018-03-26
1588163562 Generation 5 Healthcare, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 707 Belgian Ave., Baltimore, MD 21218 2018-02-06
Find all providers in zip 21218

Competitor

Search similar providers

City BALTIMORE
Zip Code 21218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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