PENINSULA REGIONAL MEDICAL CENTER (NPI# 1124005053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124005053 |
| Entity Type | Organization |
| Organization Name | PENINSULA REGIONAL MEDICAL CENTER |
| Other Organization Name | PENINSUAL REGIONAL OUTPATIENT REHAB |
| Practice Address |
100 E Carroll St Patient Accounts Salisbury MD 21801-5422 |
| Practice Telephone | 4105436400 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD DURHAM (SENIOR VICE PRESIDENT, FINANCE) |
| Authorized Official Telephone | 4105437440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Peninsual Regional Outpatient Rehab | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| 1659513273 | Peninsula Regional Medical Center | Family Medicine | 428 W Market St, Snow Hill Family Medicine, Snow Hill, MD 21863-1127 | 2009-03-27 |
| 1295977817 | Peninsula Regional Medical Center | Family Medicine | 142 Atlantic Ave Ste 3, Ocean View Family Medicine, Millville, DE 19967-6772 | 2009-03-27 |
| 1376785998 | Peninsula Regional Medical Center | Emergency Medicine | 1655 Woodbrooke Dr Ste 104, Salisbury, MD 21804-8502 | 2009-03-27 |
| 1255882254 | Peninsula Regional Medical Center | General Acute Care Hospital | 909 Progress Circle, Peninsula Regional Weight Loss & Wellness Center, Salisbury, MD 21804 | 2016-10-14 |
| 1821492745 | Peninsula Regional Medical Center | Pharmacy | 30265 Commerce Dr, Suite 106 A, Millsboro, DE 19966-3593 | 2014-10-21 |
| 1508280108 | Peninsula Regional Medical Center | General Acute Care Hospital | 100 E Carroll St, Salisbury, MD 21801-5422 | 2014-02-18 |
| 1518399252 | Peninsula Regional Medical Center | Dietitian, Registered | 1415 S Division St, Salisbury, MD 21804-7291 | 2013-08-05 |
| 1861836330 | Peninsula Regional Medical Center | General Acute Care Hospital | 30265 Commerce Dr, Delmarva Health Pavilion, Millsboro, DE 19966-3593 | 2013-04-26 |
| 1023240769 | Peninsula Regional Medical Center | Internal Medicine | 560 Riverside Dr, Suite A 206, Salisbury, MD 21801-4700 | 2009-08-13 |
| Street Address |
100 E CARROLL ST PATIENT ACCOUNTS |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778811 | Heidi Elizabeth Callahan | Physician Assistant | 100 E Carroll St, # 400, Salisbury, MD 21801-5422 | 2005-05-23 |
| 1649870916 | Katelyn Marie Mcwilliams | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-27 |
| 1356941637 | Kayla Ann Holliday | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-27 |
| 1093315376 | Amanda Strayer | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-27 |
| 1366049876 | Fahad Nayim Md LLC | Skilled Nursing Facility | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-07 |
| 1013514157 | Michelle H Grbic | Speech-Language Pathologist | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-01 |
| 1568071462 | Anastasiya Deem | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5493 | 2020-07-27 |
| 1336766021 | Myra Ngambo Njapau-dove | Nurse Anesthetist, Certified Registered | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-29 |
| 1588280655 | Ashton Renee Hyde | Nurse Anesthetist, Certified Registered | 100 E Carroll St, Salisbury, MD 21801-5493 | 2020-06-24 |
| 1952926891 | Tidalhealth Specialty Care, LLC | Pediatrics | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
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| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422070 | Peninsula Orthopaedic Associates, P.a. | Clinic/Center | 600 Glen Ave Unit 203, Salisbury, MD 21804-5250 | 2017-12-12 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| 1205008448 | Salisbury Physical Therapy | Clinic/Center | 201 E Front St, Salisbury, MO 65281-1041 | 2008-03-27 |
| 1013933662 | Michael Palenchar | Clinic/Center | 1504f Pemberton Dr, Salisbury, MD 21801-2475 | 2006-07-15 |
| 1417223926 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 320 Jake Alexander Blvd W, Suite 106, Salisbury, NC 28147-1442 | 2012-03-29 |
| 1538468665 | X-tra Performance & Physical Therapy Company | Clinic/Center | 1504 Kentucky St, Salisbury, NC 28144-6500 | 2011-03-15 |
| 1366771354 | Lymphedema Solutions Physical Therapy Inc | Clinic/Center | 322 Mocksville Ave, Salisbury, NC 28144-3328 | 2009-12-22 |
| 1699937839 | Coastal Physical Therapy & Sports Medicine LLC | Clinic/Center | 6508 Deer Pointe Drive, Suite D, Salisbury, MD 21804-1669 | 2008-06-30 |
| 1063634467 | Comptroller of Maryland Central Payroll Bureau | Clinic/Center | 351 Deers Head Hospital Rd, Salisbury, MD 21802-2018 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1730794967 | Lz Pt and Wellness, LLC | Clinic/Center | 8375 Jumpers Hole Rd Ste 202, Millersville, MD 21108-1271 | 2020-09-14 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1790302925 | Hanson Physical Therapy & Sports Performance | Clinic/Center | 750 State Route 3 S Ste 5, Gambrills, MD 21054-1306 | 2020-07-03 |
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1073139036 | Woo Physical Therapy and Wellness | Clinic/Center | 8247 Hickory Hollow Dr, Glen Burnie, MD 21060-8721 | 2020-06-24 |
| 1851917892 | Mgpt, LLC | Clinic/Center | 5901 Montrose Rd Apt N402, Rockville, MD 20852-4729 | 2020-06-24 |
| 1811513278 | Manigault Enterprise, L.L.C. | Clinic/Center | 2103 Woodtop Way, Bel Air, MD 21015-6370 | 2020-06-22 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.