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LIFEBRIDGE COMMUNITY PHYSICIANS INC
NPI 1104627868
Internal Medicine - Cardiovascular Disease in Randallstown, MD

Active since March 20, 2025
5401 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 469-4000(410) 469-4074 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifebridge Community Physicians Inc NPPES

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

LIFEBRIDGE COMMUNITY PHYSICIANS INC (NPI 1104627868) is a healthcare organization registered as a cardiovascular disease in Randallstown, Maryland and active in the NPI registry since March 2025. The organization lists Mary Rebecca Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1104627868
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS INC
Location Address5401 OLD COURT RDRandallstown, MD 21133-5103
Mailing Address5401 Old Court Rd # TdRandallstown, MD 21133-5103 · (410) 469-4000 · Fax (410) 469-4074
Phone(410) 469-4000
Fax(410) 469-4074
Organization SubpartNo
Authorized OfficialMary Rebecca Wright-siskDirector · (443) 422-9941
Enumeration DateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1104627868 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.
5401 OLD COURT RD, Randallstown, MD 21133
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Other Names 1

Other NameWoodholme Cardiology At Old Court

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

LIFEBRIDGE ANESTHESIA ASSOCIATES, LLC
Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
ZOENA YANNAKAKIS M.D.
Specialist
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
TONYA M. PEASE CRNA
Nurse Anesthetist, Certified Registered
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 496-7572
MS. SHANNON LYNN WATTS PA-C
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
SCOTT W STROMBERG PA
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
HARAMRIT RAJAN PA-C
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
EMERGENCY MEDICINE ASSOCIATES PA PC
Internal Medicine
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (330) 493-4443
JON A NEWSOME MD
Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200

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 Community Physicians Inc's NPI number?

The NPI number for Lifebridge Community Physicians Inc is 1104627868. It was assigned to this organization in the NPPES registry on March 20, 2025. The provider is also known as Woodholme Cardiology at Old Court.

Where is Lifebridge Community Physicians Inc located?

Lifebridge Community Physicians Inc is located at 5401 Old Court Rd, Randallstown, MD 21133. The listed phone number is (410) 469-4000.

What is Lifebridge Community Physicians Inc'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 Community Physicians Inc was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.