LIFEBRIDGE COMMUNITY PEDIATRICS LLC MAIN STREET PEDIATRICS
NPI 1790129054
Pediatrics in Towson, MD
NPI Status: Active since April 17, 2013
Contact Information
515 FAIRMOUNT AVE
SUITE 200
TOWSON, MD
ZIP 21286
Phone: (410) 494-1369
Fax: (410) 494-2737
- Organization
- Pediatrics
About LIFEBRIDGE COMMUNITY PEDIATRICS LLC MAIN STREET PEDIATRICS
This page provides the complete NPI Profile along with additional information for Lifebridge Community Pediatrics Llc Main Street Pediatrics, a pediatrician established in Towson, Maryland operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1790129054 assigned on April 2013. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Lifebridge Community Pediatrics Llc Main Street Pediatrics. The authorized official of this NPI record is Mary R Wright-sisk (Director)
- NPI
- 1790129054
- Provider Legal Name
- LIFEBRIDGE COMMUNITY PHYSICIANS, INC
- Other Organization Name
- LIFEBRIDGE COMMUNITY PEDIATRICS LLC MAIN STREET PEDIATRICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 515 FAIRMOUNT AVE SUITE 200 TOWSON, MD 21286
- Location Phone
- (410) 494-1369
- Location Fax
- (410) 494-2737
- Mailing Address
- 515 FAIRMOUNT AVE SUITE 200 TOWSON, MD 21286
- Mailing Phone
- (410) 494-1369
- Mailing Fax
- (410) 494-2737
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-17-2013
- Last Update Date
- 08-27-2021
- Code Navigator
A pediatrician like Lifebridge Community Pediatrics Llc Main Street Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MD
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 1 | 2 | 9 | 0 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 2 | 18 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 2 + 1 + 8 + 0 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1790129054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447237508 | DR. HOWARD RONALD FRIEDMAN MD Individual | Internal Medicine | 515 FAIRMOUNT AVE CREDENTIALING DEPT TOWSON, MD 21286 (410) 526-7800 |
| 1932172194 | DR. CARLTON C GREENE MD Individual | Specialist | 515 FAIRMOUNT AVE STE 500 TOWSON, MD 21286 (410) 494-1315 |
| 1023084209 | JOHN LOOME M.D. Individual | Internal Medicine (Geriatric Medicine) | 515 FAIRMOUNT AVE 9TH FLOOR TOWSON, MD 21286 (410) 494-7671 |
| 1033187901 | DR. RICHARD MICHAEL SILBERG M.D. Individual | Pediatrics | 515 FAIRMOUNT AVE SUITE 200 TOWSON, MD 21286 (410) 494-2799 |
| 1457317588 | RICHARD HENRY MACK M.D. Individual | Orthopaedic Surgery | 515 FAIRMOUNT AVE SUITE 530 BALTIMORE, MD 21286 (410) 494-1389 |
| 1073579116 | STUART BEAL SILVER M.D. Individual | Psychiatry & Neurology (Psychiatry) | 515 FAIRMOUNT AVE SUITE 402 TOWSON, MD 21286 (410) 494-1310 |
| 1487602421 | GEORGE A. BEDON M.D. Individual | Internal Medicine (Pulmonary Disease) | 515 FAIRMOUNT AVE SUITE 510 TOWSON, MD 21286 (410) 494-1244 |
| 1235189416 | SARAH ERWIN BODNAR PT Individual | Physical Therapist | 515 FAIRMOUNT AVE SUITE 530 BALTIMORE, MD 21286 (410) 494-1343 |
| 1104870633 | STEVENSON ANESTHESIA, PA Organization | Anesthesiology | 515 FAIRMOUNT AVE TOWSON, MD 21286 (410) 296-5300 |
| 1942255922 | JAMES PATRICK PAKERT M.D. Individual | Plastic Surgery | 515 FAIRMOUNT AVE SUITE 210 TOWSON, MD 21286 (410) 494-1385 |
| 1790724805 | DAVID STEPHEN SHEAR M.D. Individual | Surgery | 515 FAIRMOUNT AVE SUITE 510 TOWSON, MD 21286 (410) 494-1397 |
| 1760423313 | MIGUEL ANTONIO FRONTERA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 515 FAIRMOUNT AVE SUITE 640 TOWSON, MD 21286 (410) 494-1350 |
| 1093742827 | WILLIAM PETER BARTHOLOMAY PT Individual | Physical Therapist | 515 FAIRMOUNT AVE SUITE 530 TOWSON, MD 21286 (410) 494-1342 |
| 1194834036 | SINAI HOSPITAL OF BALTIMORE, INC. Organization | Clinic/Center (Multi-Specialty) | 515 FAIRMOUNT AVE BALTIMORE, MD 21286 (410) 581-3985 |
| 1679695837 | MS. KATHRYN ANNE GRANING OTR Individual | Occupational Therapist | 515 FAIRMOUNT AVE TOWSON, MD 21286 (410) 296-1000 |
| 1871775981 | RICHARD D. MAFFEZZOLI LLC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 515 FAIRMOUNT AVE SUITE 330 TOWSON, MD 21286 (410) 494-1213 |
| 1629202445 | SINAI HOSPITAL OF BALTIMORE, INC Organization | Physical Therapist | 515 FAIRMOUNT AVE CREDENTIALING OFFICE TOWSON, MD 21286 (410) 494-1324 |
| 1790910495 | SINAI HOSPITAL OF BALTIMORE, INC Organization | Dietitian, Registered | 515 FAIRMOUNT AVE TOWSON, MD 21286 (410) 296-5300 |
| 1275810137 | LIFEBRIDGE INVESTMENTS, INC. AND SUBSIDIARIES Organization | Specialist | 515 FAIRMOUNT AVE 404 TOWSON, MD 21286 (410) 484-5686 |
| 1063784403 | GHC SELECTCARE, LLC Organization | Community/Behavioral Health | 515 FAIRMOUNT AVE 8TH FLOOR TOWSON, MD 21286 (410) 832-7761 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790129054, enumerated in the NPI registry as an "organization" on April 17, 2013
The provider is located at 515 Fairmount Ave Suite 200 Towson, Md 21286 and the phone number is (410) 494-1369
This medical organization specializes in Pediatrics with taxonomy code 208000000X
This NPI record was last updated on April 17, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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