LIFEBRIDGE CARDIOLOGY OF PARKVILLE, LLC
NPI 1013319011
Internal Medicine - Cardiovascular Disease in Lutherville, MD

Active since September 22, 2014
12221 TULLAMORE RD STE 3, LUTHERVILLE, MD 21093(410) 308-7855 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 30, 2016, Nov 13, 2015 (2 updates tracked since 2015).

About Lifebridge Cardiology Of Parkville, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEBRIDGE CARDIOLOGY OF PARKVILLE, LLC (NPI 1013319011) is a healthcare organization registered as a cardiovascular disease in Lutherville, Maryland and active in the NPI registry since September 2014. The organization maintains a secondary practice location in Randallstown and lists Mary Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1013319011
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLIFEBRIDGE CARDIOLOGY OF PARKVILLE, LLC
Location Address12221 TULLAMORE RD STE 3Lutherville, MD 21093-7816
Mailing Address12221 Tullamore Rd Ste 3Lutherville, MD 21093-7816 · (410) 308-7855 · Fax (410) 308-7856
Organization SubpartNo
Authorized OfficialMary Wright-siskDirector · (443) 422-9941
Enumeration DateSeptember 22, 2014
Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
NPI 1013319011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
12221 TULLAMORE RD STE 3, Lutherville, MD 21093

Secondary Practice Location 1

Location 15415 Old Court Rd, Suite 101Randallstown, MD 21133-5170 · Phone (410) 308-7855 · Fax (410) 308-7856

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
12221 TULLAMORE RD STE 3
LUTHERVILLE, MD 21093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifebridge Cardiology Of Parkville, LLC's NPI number?

The NPI number for Lifebridge Cardiology Of Parkville, LLC is 1013319011. It was assigned to this organization in the NPPES registry on September 22, 2014.

Where is Lifebridge Cardiology Of Parkville, LLC located?

Lifebridge Cardiology Of Parkville, LLC is located at 12221 Tullamore Rd Ste 3, Lutherville, MD 21093. The listed phone number is (410) 308-7855.

What is Lifebridge Cardiology Of Parkville, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Lifebridge Cardiology Of Parkville, LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.