EASTERN SHORE LITHOTRIPSY (NPI# 1528141025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528141025 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE LITHOTRIPSY |
| Practice Address |
6 Caulk Ln Easton MD 21601-3854 |
| Practice Telephone | 4108225552 |
| Practice Fax Number | 4108228238 |
| Mailing Telephone | 4108225552 |
| Mailing Fax Number | 4108228238 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN P KNUD-HANSEN (OWNER) |
| Authorized Official Telephone | 4108225552 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
A1180 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS OF DC PROVIDER NUMBE | RV9 | 01 |
| MD | BCBS OF MD PROVIDER NUMBE | 57410502 | 01 |
| Street Address |
6 CAULK LN |
| City | EASTON |
| State | MD |
| Zip Code | 21601-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891766283 | Eastern Shore Surgery Center LLC | Clinic/Center | 6 Caulk Ln, Easton, MD 21601-3854 | 2006-02-01 |
| 1063420339 | Eastern Shore Urology Associates, Pa | Specialist | 6 Caulk Ln, Easton, MD 21601-3854 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 261QL0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Lithotripsy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174734016 | Mid-atlantic Mobile Lithotripsy, LLC | Clinic/Center | 7759 Belle Point Drive, Greenbelt, MD 20776 | 2007-05-24 |
| 1770793135 | Maritime Lithotripsy, LLC | Clinic/Center | 211 E. Lomard St., #122, Baltimore, MD 21202-6102 | 2007-05-23 |
| 1396759254 | Chesapeake Lithotripsy Associates, L.p. | Clinic/Center | 115 Sudbrook Ln, Suite 207, Baltimore, MD 21208-4130 | 2006-07-28 |
| 1164934212 | Medstar Endoscopy Center At Lutherville, LLC | Clinic/Center | 1300 Bellona Ave Ste A, Lutherville, MD 21093-5466 | 2017-10-30 |
| 1134383235 | Ums Chesapeake Lithotripsy, LLC | Clinic/Center | 115 Sudbrook Ln, Suite 207, Baltimore, MD 21208-4130 | 2008-07-17 |
| 1801014907 | Medispec Ltd. | Clinic/Center | 20410 Observation Dr, Suite 102, Germantown, MD 20876-4000 | 2007-04-23 |
| 1689749350 | Columbia Urological Surgical Center, L.L.C. | Clinic/Center | 11085 Little Patuxent Pkwy, Suite 204, Columbia, MD 21044-2983 | 2006-11-21 |
| 1023199601 | Anne Arundel Urological Surgery Center LLC | Clinic/Center | 600 Ridgely Ave, Suite 223, Annapolis, MD 21401-1001 | 2006-10-18 |
| 1568476422 | Chesapeake Lithotripsy Partners, L.p. | Clinic/Center | 115 Sudbrook Ln, Suite 207, Baltimore, MD 21208-4130 | 2006-07-28 |
| 1275547135 | Chesapeake Lithotripsy Enterprises, L.p. | Clinic/Center | 115 Sudbrook Ln, Suite 207, Baltimore, MD 21208-4130 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
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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.