PENINSULA REGIONAL MEDICAL CENTER (NPI# 1518399252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518399252 |
| Entity Type | Organization |
| Organization Name | PENINSULA REGIONAL MEDICAL CENTER |
| Other Organization Name | PENINSULA REGIONAL DIABETES EDUCATION |
| Practice Address |
1415 S Division St Salisbury MD 21804-7291 |
| Mailing Address |
100 E Carroll St Salisbury MD 21801-5422 |
| Practice Telephone | 4105728848 |
| Practice Fax Number | 4105726890 |
| Mailing Telephone | 4105437531 |
| Mailing Fax Number | 4109126386 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | DONNA E PALMER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4105437531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 525701800 | 05 |
| Other Name | Type Code |
|---|---|
| Peninsula Regional Diabetes Education | Doing Business As Name - 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 |
| 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 |
| 1508000746 | Peninsula Regional Medical Center | Internal Medicine | 100 E Carroll St, Salisbury, MD 21801-5422 | 2009-04-30 |
| Street Address |
1415 S DIVISION ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-7291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053300665 | Kimberly Perry Rogers | Nurse Practitioner | 1415 S Division St, Salisbury, MD 21804-7291 | 2005-10-17 |
| 1417320581 | Indre Besasparyte Doyle | Nurse Practitioner | 1415 S Division St, Suite A, Peninsula Regional Endocrinology, Salisbury, MD 21804-7291 | 2015-11-11 |
| 1154734507 | Juman Takeddin | Internal Medicine | 1415 S Division St, Salisbury, MD 21804 | 2014-06-03 |
| 1700194925 | Andrea Nicole Olson | Dietitian, Registered | 1415 S Division St, Salisbury, MD 21804-7291 | 2010-09-22 |
| 1033152103 | Jack L Snitzer | Internal Medicine | 1415 S Division St, Suite A, Salisbury, MD 21804-7232 | 2006-06-14 |
| 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 | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710534102 | Michelle Guarnieri | Dietitian, Registered | 1496 Still Meadow Blvd # D&e, Salisbury, MD 21804-7511 | 2019-08-21 |
| 1336706571 | Ethan Michael Yerger | Dietitian, Registered | 200 E Vine St, Salisbury, MD 21804-5531 | 2019-05-23 |
| 1205491982 | Malinda Mcquain Cecil | Dietitian, Registered | 1305 Sylvia St, Salisbury, MD 21804-4540 | 2019-05-07 |
| 1891254033 | Karoline S Pugh | Dietitian, Registered | 1496 Still Meadow Blvd Unit D&e, Salisbury, MD 21804-7511 | 2019-03-18 |
| 1285106393 | Alyson Nicole Hickman | Dietitian, Registered | 1496 Still Meadow Blvd, Salisbury, MD 21804-7511 | 2018-12-31 |
| 1447749338 | Rachael Rounsley Schulze | Dietitian, Registered | 800 Outten Rd, Salisbury, MD 21804-1887 | 2018-05-07 |
| 1447547153 | Nicole L Acle | Dietitian, Registered | 26822 Robert Burns Ln, Salisbury, MD 21801-2357 | 2011-07-01 |
| 1316005580 | Grace Puthenpurackal | Dietitian, Registered | 3993 Trace Hollow Run, Salisbury, MD 21804-2552 | 2006-12-04 |
| 1275593006 | Beverly Warner | Dietitian, Registered | 1608 Brenner Ave, Salisbury, NC 28144-2516 | 2006-03-24 |
| 1477160430 | Fixer Upper Fitness | Dietitian, Registered | 724 E Main St, Salisbury, MD 21804-5037 | 2020-09-24 |
| 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.