SHANE J QUITERIO (NPI# 1417089152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417089152 |
| Entity Type | Individual |
| Full Name | SHANE J QUITERIO |
| Credential | M.D., PH.D. |
| Practice Address |
28155 Pathfinder Ct Salisbury MD 21801-1805 |
| Practice Telephone | 4104227341 |
| Practice Fax Number | 4437734700 |
| Mailing Telephone | 4104227341 |
| Mailing Fax Number | 4437734700 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD450838 | PA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | C7-0003215 | DE | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | C1-0008387 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102924881 | 05 | |
| DE | BLUE SHIELD | 1417089152 | 01 |
| DE | 1417089152 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 N 7th St, Chambersburg, PA 172011720 | 7172677146 | 7172677728 |
| 501 E Main St, Waynesboro, PA 172682353 | 7177653400 | 7177653408 |
| Street Address |
28155 PATHFINDER CT |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-1805 |
| 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 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376785998 | Peninsula Regional Medical Center | Emergency Medicine | 1655 Woodbrooke Dr Ste 104, Salisbury, MD 21804-8502 | 2009-03-27 |
| 1144417445 | Theodore John Sikorski | Emergency Medicine | 850 Jake Alexander Blvd W, Suite G #148, Salisbury, NC 28147-1225 | 2007-10-01 |
| 1710044201 | Francis R.j. Porter | Emergency Medicine | 20 Rustic Ln, Salisbury, CT 06068-1316 | 2007-01-03 |
| 1669420022 | Earl Joseph Myers | Emergency Medicine | 1904 Jake Alexander Blvd W Ste 301, Salisbury, NC 28147-1177 | 2006-05-05 |
| 1841254067 | John Sevier Cave | Emergency Medicine | 300 Confederate Ave, Salisbury, NC 28144-2719 | 2006-04-14 |
| 1720042831 | James Blake Trumble | Emergency Medicine | 145 E Carroll St # 101102, Salisbury, MD 21801-5454 | 2006-04-14 |
| 1831162031 | Joseph Michael Degulis | Emergency Medicine | 255 Foresail Rd, Salisbury, NC 28146-9467 | 2006-02-08 |
| 1124007232 | Walter David Gianelle | Emergency Medicine | 2425 N Salisbury Blvd, Salisbury, MD 21801-2138 | 2006-01-17 |
| 1255310272 | Jeffrey T Greenwood | Emergency Medicine | 100 East Carroll Street, Salisbury, MD 21801 | 2006-01-10 |
| 1508842485 | Ronald H Peeler | Emergency Medicine | 1245 Camp Rd, Piedmont Correctional Institution, Salisbury, NC 28147-0000 | 2005-12-21 |
| Find all providers in SALISBURY | ||||
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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.