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LIFEBRIDGE SURGICAL SERVICES
NPI 1255702338
Family Medicine in Randallstown, MD

Active since October 14, 2015
5401 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 521-2200 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 27, 2021, Nov 19, 2015 (2 updates tracked since 2015).

About Lifebridge Surgical Services NPPES

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

LIFEBRIDGE SURGICAL SERVICES (NPI 1255702338) is a healthcare organization registered as a family medicine in Randallstown, Maryland and active in the NPI registry since October 2015. The organization lists Mary R Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1255702338
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS, INC
Location Address5401 OLD COURT RDRandallstown, MD 21133-5103
Mailing Address5401 Old Court RdRandallstown, MD 21133-5103 · (410) 521-2200
Phone(410) 521-2200
Organization SubpartNo
Authorized OfficialMary R Wright-siskDirector · (443) 422-9941
Enumeration DateOctober 14, 2015
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1255702338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · H68214
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5401 OLD COURT RD, Randallstown, MD 21133
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Other Names 1

Doing Business AsLifebridge Surgical Services

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 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 1255702338. It was assigned to this organization in the NPPES registry on October 14, 2015. The provider is doing business as Lifebridge Surgical Services.

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) 521-2200.

What is Lifebridge Community Physicians, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lifebridge Community Physicians, Inc was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.