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MAIN STREET PEDIATRICS
NPI 1629495528
Pediatrics in Towson, MD

Active since March 28, 2014
849 FAIRMONT AVENUE, SUITE 100A, TOWSON, MD 21286(410) 494-1369(410) 494-2737 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2020, Mar 13, 2020 (2 updates tracked since 2020).

About Main Street Pediatrics NPPES

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

MAIN STREET PEDIATRICS (NPI 1629495528) is a healthcare organization registered as a pediatrics in Towson, Maryland and active in the NPI registry since March 2014. The organization lists Mary Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1629495528
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIFEBRIDGE COMMUNITY PEDIATRICS, LLC
Location Address849 FAIRMONT AVENUE, SUITE 100ATowson, MD 21286-2600
Mailing Address849 Fairmount Ave Ste 100aTowson, MD 21286-2600 · (410) 494-1369 · Fax (410) 494-2737
Phone(410) 494-1369
Fax(410) 494-2737
Organization SubpartNo
Authorized OfficialMary Wright-siskDirector · (410) 521-2200
Enumeration DateMarch 28, 2014
Last NPPES UpdateMarch 16, 20202 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
✔ NPI 1629495528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
849 FAIRMONT AVENUE, Towson, MD 21286
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Other Names 1

Doing Business AsMain Street Pediatrics

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 8

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

DR. PAUL ZOLTAN BODNAR M.D.
Pediatrics
849 FAIRMONT AVENUE, SUITE 100A
TOWSON, MD 21286
Baltimore County (410) 494-1369
DR. ROSE MARY MULAIKAL M.D.
Pediatrics
849 FAIRMONT AVENUE, SUITE 100A
TOWSON, MD 21286
Baltimore County (410) 494-1369
DR. DEBORAH GISRIEL BITTAR M.D.
Pediatrics
849 FAIRMONT AVENUE, SUITE 100A
TOWSON, MD 21286
Baltimore County (410) 494-1369
LIFEBRIDGE COMMUNITY PHYSICIANS, INC.
Internal Medicine
849 FAIRMONT AVENUE, SUITE 100B
TOWSON, MD 21286
Baltimore County (410) 469-4981
DR. JONATHAN ERIC SURELL M.D.
Pediatrics
849 FAIRMONT AVENUE, SUITE 100A
TOWSON, MD 21286
Baltimore County (410) 494-1369
MS. TERESA ROSE-MARIE MARK
Pediatrics
849 FAIRMONT AVENUE, SUITE 100A
TOWSON, MD 21286
Baltimore County (410) 494-1369
PETER J CLAYBOUR MD
Pediatrics
849 FAIRMONT AVENUE, SUITE 100A
TOWSON, MD 21286
Baltimore County (410) 494-1369
DR. DOROTHY SIMONSSON MD
Pediatrics
849 FAIRMONT AVENUE, SUITE 100A
TOWSON, MD 21286
Baltimore County (410) 494-1369

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 Pediatrics, LLC's NPI number?

The NPI number for Lifebridge Community Pediatrics, LLC is 1629495528. It was assigned to this organization in the NPPES registry on March 28, 2014. The provider is doing business as Main Street Pediatrics.

Where is Lifebridge Community Pediatrics, LLC located?

Lifebridge Community Pediatrics, LLC is located at 849 Fairmont Avenue Suite 100A, Towson, MD 21286. The listed phone number is (410) 494-1369.

What is Lifebridge Community Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Lifebridge Community Pediatrics, LLC was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.