| Lifebridge Community Gastroenterology, Llc | |
|
1838 Greene Tree Rd Suite 400 Pikesville MD 21208-6391 | |
| (410) 602-7782 | |
| (410) 602-9344 |
| Full Name | Lifebridge Community Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1838 Greene Tree Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Mary Wright-sisk (DIRECTOR) |
| Authorized Official Contact | 4107014547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebridge Community Gastroenterology, Llc 1838 Greene Tree Rd Suite 400 Pikesville MD 21208-6391 Ph: (410) 602-7782 | Lifebridge Community Gastroenterology, Llc 1838 Greene Tree Rd Suite 400 Pikesville MD 21208-6391 Ph: (410) 602-7782 |
| NPI Number | 1033558416 |
|---|---|
| Provider Enumeration Date | 06/19/2013 |
| Last Update Date | 10/25/2013 |
| Medicare PECOS PAC ID | 7618108119 |
|---|---|
| Medicare Enrollment ID | O20140326001773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033558416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Cassandra L Boyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700800562 PECOS PAC ID: 1052201308 Enrollment ID: I20040318001497 |
| Provider Name | Danielle R Boggio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194721712 PECOS PAC ID: 6002808953 Enrollment ID: I20040331001194 |
| Provider Name | Brian A Stark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093745093 PECOS PAC ID: 1759376353 Enrollment ID: I20040414001707 |
| Provider Name | Yvette R Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447256011 PECOS PAC ID: 4587650700 Enrollment ID: I20040422001481 |
| Provider Name | Kwan L Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659373173 PECOS PAC ID: 4688663628 Enrollment ID: I20040506001104 |
| Provider Name | Arlene Mary Waldo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972505956 PECOS PAC ID: 3870583446 Enrollment ID: I20040514001211 |
| Provider Name | Margaret Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962409607 PECOS PAC ID: 0840270237 Enrollment ID: I20040726000260 |
| Provider Name | Steven B Bluestein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386640993 PECOS PAC ID: 0941270417 Enrollment ID: I20041016000059 |
| Provider Name | Denese A Gaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841286671 PECOS PAC ID: 8123084522 Enrollment ID: I20041207001154 |
| Provider Name | Edward Wolf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316931728 PECOS PAC ID: 6901894112 Enrollment ID: I20050620000211 |
| Provider Name | Mitchel Markins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205814225 PECOS PAC ID: 6204866908 Enrollment ID: I20050812000464 |
| Provider Name | Enrico A Giangeruso |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568560134 PECOS PAC ID: 8527005180 Enrollment ID: I20061212000231 |
| Provider Name | Elena V Virts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588673594 PECOS PAC ID: 0446252720 Enrollment ID: I20070215000698 |
| Provider Name | Sharee T Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134271786 PECOS PAC ID: 2365545738 Enrollment ID: I20070306000369 |
| Provider Name | Ernest Tsao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790981256 PECOS PAC ID: 5890888580 Enrollment ID: I20070911000974 |
| Provider Name | Tracy M Patton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346379781 PECOS PAC ID: 3779671243 Enrollment ID: I20071116000197 |
| Provider Name | Meika P Boyce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316141419 PECOS PAC ID: 8325149982 Enrollment ID: I20080103000194 |
| Provider Name | Tonya M Sloan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023231396 PECOS PAC ID: 3577640366 Enrollment ID: I20080403000167 |
| Provider Name | Steven H Epstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811173636 PECOS PAC ID: 7911083035 Enrollment ID: I20080520000656 |
| Provider Name | Brian Salsberry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750450789 PECOS PAC ID: 1850499898 Enrollment ID: I20090529000323 |
| Provider Name | Eric B Blum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447466289 PECOS PAC ID: 8628128303 Enrollment ID: I20090618000555 |
| Provider Name | Howard J Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649218595 PECOS PAC ID: 9133270242 Enrollment ID: I20090701000389 |
| Provider Name | Christine Velarde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023089497 PECOS PAC ID: 0042246415 Enrollment ID: I20090924000617 |
| Provider Name | Kenolisa C Onwueme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336283720 PECOS PAC ID: 1759421282 Enrollment ID: I20091215000063 |
| Provider Name | Ann Dumonchelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023344645 PECOS PAC ID: 1850436452 Enrollment ID: I20100308000309 |
| Provider Name | Harriet Forjuoh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922338839 PECOS PAC ID: 9032247168 Enrollment ID: I20100512000032 |
| Provider Name | Todd Heller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053305763 PECOS PAC ID: 5294765012 Enrollment ID: I20101021000840 |
| Provider Name | April S Tignor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598797029 PECOS PAC ID: 0648270314 Enrollment ID: I20101029000775 |
| Provider Name | Michael Stanley Siuta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740274281 PECOS PAC ID: 2567492382 Enrollment ID: I20101109000072 |
| Provider Name | Aminat Oluyemi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023211646 PECOS PAC ID: 0840488961 Enrollment ID: I20101216000123 |
| Provider Name | Margaret M Rizzutti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245256585 PECOS PAC ID: 4880690023 Enrollment ID: I20101230000507 |
| Provider Name | Stephanie Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518299197 PECOS PAC ID: 9638368129 Enrollment ID: I20110114000279 |
| Provider Name | Christopher M Frisone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184925547 PECOS PAC ID: 9436331253 Enrollment ID: I20110315000400 |
| Provider Name | Loc Trong Le |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194710517 PECOS PAC ID: 6103856927 Enrollment ID: I20110404000224 |
| Provider Name | Lila Tarmin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669466108 PECOS PAC ID: 0749210565 Enrollment ID: I20110412000506 |
| Provider Name | Pei Yu K Watts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508155730 PECOS PAC ID: 2860677176 Enrollment ID: I20110502000653 |
| Provider Name | Erica Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104199736 PECOS PAC ID: 8729247317 Enrollment ID: I20120319000359 |
| Provider Name | Joseph O Udeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225305840 PECOS PAC ID: 5092974683 Enrollment ID: I20120319000367 |
| Provider Name | Vanessa L Kelkar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417234626 PECOS PAC ID: 2163682345 Enrollment ID: I20120326000474 |
| Provider Name | Alfred W Lee-young |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689732240 PECOS PAC ID: 1456401348 Enrollment ID: I20120410000271 |
| Provider Name | Obinna Adogu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831460294 PECOS PAC ID: 7618138082 Enrollment ID: I20120411000380 |
| Provider Name | Vaida Connors |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154636538 PECOS PAC ID: 3476714478 Enrollment ID: I20120419000122 |
| Provider Name | Elliot Schwarzenberger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952568289 PECOS PAC ID: 5698939569 Enrollment ID: I20120606000344 |
| Provider Name | Christina Fang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003179805 PECOS PAC ID: 8820254717 Enrollment ID: I20120720000402 |
| Provider Name | Moncheri H Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285982132 PECOS PAC ID: 1850541897 Enrollment ID: I20121029000002 |
| Provider Name | Irina Shraga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437408838 PECOS PAC ID: 8820249345 Enrollment ID: I20121109000531 |
| Provider Name | Christopher J Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417292806 PECOS PAC ID: 3375798739 Enrollment ID: I20130311000061 |
| Provider Name | Hinda L Rosin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912240557 PECOS PAC ID: 8325285877 Enrollment ID: I20130501000176 |
| Provider Name | Jennifer L Hoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265667240 PECOS PAC ID: 6406908763 Enrollment ID: I20130621000037 |
| Provider Name | Amy Miranda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124073002 PECOS PAC ID: 4789696857 Enrollment ID: I20130621000278 |
| Provider Name | Kara Gerstmyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588086516 PECOS PAC ID: 5698907624 Enrollment ID: I20140407000548 |
| Provider Name | Joachim Gomes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386902823 PECOS PAC ID: 2466617360 Enrollment ID: I20140702000728 |
| Provider Name | Saheel Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679970057 PECOS PAC ID: 8426375569 Enrollment ID: I20150330000118 |
| Provider Name | Arjun Vaid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467617803 PECOS PAC ID: 4981882073 Enrollment ID: I20150707001981 |
| Provider Name | Adedayo C Alalade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932530482 PECOS PAC ID: 6204067580 Enrollment ID: I20150922000982 |
| Provider Name | Susan Njenga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356734560 PECOS PAC ID: 1557681731 Enrollment ID: I20150924002131 |
| Provider Name | Payal Mecwan Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871992933 PECOS PAC ID: 3678883394 Enrollment ID: I20151110000928 |
| Provider Name | Melissa L Hindle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598153736 PECOS PAC ID: 8123339330 Enrollment ID: I20160321001282 |
| Provider Name | Calvin Parker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073654976 PECOS PAC ID: 5496932931 Enrollment ID: I20160720002247 |
| Provider Name | Agazi Gebreselassie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235572843 PECOS PAC ID: 6406142447 Enrollment ID: I20160920000250 |
| Provider Name | Darrel C Freeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063767200 PECOS PAC ID: 2062663974 Enrollment ID: I20161003000242 |
| Provider Name | Diana Whitehead |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356661169 PECOS PAC ID: 7214225473 Enrollment ID: I20161004002129 |
| Provider Name | Zeev Nemirovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679015747 PECOS PAC ID: 1850673781 Enrollment ID: I20170128000327 |
| Provider Name | Inna Bardoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801295803 PECOS PAC ID: 3274802798 Enrollment ID: I20170627000386 |
| Provider Name | Christa Swanke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275063539 PECOS PAC ID: 3971874249 Enrollment ID: I20170804000123 |
| Provider Name | Vivian C Oriaku |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760823264 PECOS PAC ID: 7719110899 Enrollment ID: I20170901002143 |
| Provider Name | Damodar Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558593293 PECOS PAC ID: 2365696838 Enrollment ID: I20180112000315 |
| Provider Name | Sarah M Moffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649771882 PECOS PAC ID: 7012272321 Enrollment ID: I20180607000030 |
| Provider Name | Nauroz Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316333719 PECOS PAC ID: 2466750674 Enrollment ID: I20180626001275 |
| Provider Name | Jennifer E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285111377 PECOS PAC ID: 7416207717 Enrollment ID: I20180907000830 |
| Provider Name | Lauren E Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417322090 PECOS PAC ID: 7517264377 Enrollment ID: I20181128002133 |
| Provider Name | Eve Karen Phythyon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598766610 PECOS PAC ID: 0244135788 Enrollment ID: I20190409000870 |
| Provider Name | Carlyn Bonny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013578111 PECOS PAC ID: 1658608146 Enrollment ID: I20190806003614 |
| Provider Name | Johanna Alexandria Francis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093207557 PECOS PAC ID: 4284061573 Enrollment ID: I20200226001746 |
| Provider Name | Kelly Aronoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396372538 PECOS PAC ID: 4688099302 Enrollment ID: I20200729000259 |
| Provider Name | Keyonna Monique Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861027294 PECOS PAC ID: 7315352325 Enrollment ID: I20210224000789 |
| Provider Name | Michelle Mcloughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588809933 PECOS PAC ID: 2961566948 Enrollment ID: I20210907000260 |
| Provider Name | Salela Jordan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669040564 PECOS PAC ID: 4284031394 Enrollment ID: I20210915004061 |
| Provider Name | Chigozie Ndugba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528606845 PECOS PAC ID: 1254768856 Enrollment ID: I20220927001352 |
| Provider Name | Kelsey S Lennon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063905867 PECOS PAC ID: 4981955598 Enrollment ID: I20221124000099 |
| Provider Name | Antonio Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174978076 PECOS PAC ID: 4082906771 Enrollment ID: I20230110001043 |
| Provider Name | Danielle Danita Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487362265 PECOS PAC ID: 4082086764 Enrollment ID: I20230206001706 |
| Provider Name | Carol Murugi Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366153827 PECOS PAC ID: 8921471863 Enrollment ID: I20230224000086 |
| Provider Name | Linda Marie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538858089 PECOS PAC ID: 8022474188 Enrollment ID: I20230515002696 |
| Provider Name | Destiny Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780374769 PECOS PAC ID: 7719341791 Enrollment ID: I20230908001935 |
| Provider Name | Young Jun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417732546 PECOS PAC ID: 9931563525 Enrollment ID: I20230914004178 |
| Provider Name | Mfoniso D Umoren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144752106 PECOS PAC ID: 2264819671 Enrollment ID: I20231210000089 |
| Provider Name | Christian Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336625870 PECOS PAC ID: 4789935099 Enrollment ID: I20240102002832 |
| Provider Name | Jonathan D Hydrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740750462 PECOS PAC ID: 6204176274 Enrollment ID: I20241107000970 |
| Provider Name | Madeline Romanella Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831906890 PECOS PAC ID: 0446789077 Enrollment ID: I20250128003073 |
| Provider Name | James R Mize |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477554434 PECOS PAC ID: 6103899216 Enrollment ID: I20250131001589 |
| Provider Name | Christina Dinatale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124828090 PECOS PAC ID: 8325562267 Enrollment ID: I20250411002610 |
Ken M Zonies Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1838 Greene Tree Rd, Ste 300, Pikesville, MD 21208 Phone: 410-653-0366 Fax: 410-653-2527 | |
Oroszlan Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1838 Greene Tree Rd, Ste 300, Pikesville, MD 21208 Phone: 410-653-0366 Fax: 410-653-2527 | |
Mdics Rehabilitative Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Sudbrook Ln, Pikesville, MD 21208 Phone: 410-486-8771 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1838 Greene Tree Rd, Pikesville, MD 21208 Phone: 410-427-2024 | |
Lifebridge Community Gastroenterology, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Old Court Rd Ste 301, Pikesville, MD 21208 Phone: 410-602-7782 Fax: 410-602-9344 | |
Doctor Benn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3635 Old Court Rd Ste 511, Pikesville, MD 21208 Phone: 443-241-4878 |