DR. MARK S SHIMKO (NPI# 1457541278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457541278 |
| Entity Type | Individual |
| Full Name | DR. MARK S SHIMKO |
| Credential | MD |
| Practice Address |
1342 S Division St #401 Salisbury MD 21804-6921 |
| Practice Telephone | 4105462133 |
| Practice Fax Number | 4105483361 |
| Mailing Telephone | 4105462133 |
| Mailing Fax Number | 4105483361 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2012-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | C1-0009994 | DE | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | D0073462 | MD | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 50973 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 | |
| MN | MEDICARE, RAILROAD | P00645889 | 01 |
| Street Address |
1342 S DIVISION ST #401 |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-6921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508145178 | Robert E Murphy | Physician Assistant | 1342 S Division St, Salisbury, MD 21804-6921 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760904379 | Peninsula Urology Associates, Pa | Urology | 1342 S Division St Unit 401, Salisbury, MD 21804-6921 | 2017-07-14 |
| 1063522886 | Peninsula Urology Associates Pa | Urology | 1342 South Division Street Unit 401, Salisbury, MD 21804 | 2006-08-30 |
| 1356301840 | Christopher D Maull | Urology | 1342 South Division Street, Unit 401, Peninsula Urology Associates Pa, Salisbury, MD 21084 | 2006-03-27 |
| 1982664900 | Robert Gene Moore | Urology | 911 W Henderson St Ste 110, Salisbury, NC 28144-2700 | 2006-03-24 |
| 1598312530 | Cortney Julian Eller | Urology | 911 W Henderson St Ste 110, Salisbury, NC 28144-2700 | 2019-08-23 |
| 1275918138 | Novant Medical Group, Inc | Urology | 911 W Henderson St, Ste 110, Salisbury, NC 28144-2736 | 2015-07-21 |
| 1154432300 | Salisbury Uro Surgery Center LLC | Urology | 1342 South Division Street, Unit 401, Salisbury, MD 21804 | 2006-08-31 |
| 1194786160 | Thomas M Demarco | Urology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-03-30 |
| 1891756748 | Harold I Genvert | Urology | 1342 South Division Street, Unit 401, Salisbury, MD 21084 | 2006-03-30 |
| 1184684789 | Mark T Edney | Urology | 1342 South Division Street, Unit 401 Peninsula Urology Associates Pa, Salisbury, MD 21084 | 2006-03-27 |
| 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.