Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jamie Garonzik, PA-C

Individual provider Physician Assistant · NPI 1710422688

Mr. Jamie Garonzik, PA-C is a Physician Assistant in Ellicott City, Maryland. Qualified in 2016, 10 years ago. Practices with Lifebridge Medical Associates LLC, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4801 Dorsey Hall Dr
Ellicott City, MD 21042-7766
Phone: (410) 997-5191
Fax: (410) 997-7957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0006340 (MD)

Record details

NPI number1710422688
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2016
Last updated in NPPESDecember 30, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lifebridge Medical Associates Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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