Lifebridge Suburban Physician Group II LLC
NPI 1619427978ActiveOrganization· Pediatrics· Glen Burnie, MD
Pediatrics in Glen Burnie, Maryland, registered in NPPES in October 2016, part of Lifebridge Community Physicians, Inc. The authorized official on file is Mary R. Wright-Sisk, Director.
Overview
| NPI | 1619427978 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lifebridge Community Physicians, Inc. |
| NPI issued | Oct 11, 2016 |
| Last updated in NPPES | Aug 31, 2021 |
| Certified by provider | Aug 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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