PENINSULA REGIONAL MEDICAL CENTER (NPI# 1528272192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528272192 |
Entity Type | Organization |
Organization Name | PENINSULA REGIONAL MEDICAL CENTER |
Practice Address |
100 E Carroll St Patient Accounts Salisbury MD 21801-5422 |
Practice Telephone | 4105437437 |
Practice Fax Number | 4105437020 |
Mailing Telephone | 4105437437 |
Mailing Fax Number | 4105437020 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. JEFF KARNS (DIRECTOR, PATIENT FINANCIAL SERVICE) |
Authorized Official Telephone | 4105437437 |
Authorized Official Credential | CPAM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
X | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CAREFIRST BCBS OF MD | K230 PE | 01 |
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 |
Find all providers in the same location |
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 | 2080H0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Hospice and Palliative Medicine |
A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073884292 | Pediatric Comfortcare, LLC | Pediatrics | 10300 Crown Point Ct, Potomac, MD 20854-3901 | 2012-01-19 |
1538377213 | Gregory Mark Glenn | Pediatrics | 14525 Montevideo Rd, Poolesville, MD 20837-8858 | 2007-05-18 |
1679780159 | Necole Elease Washington | Pediatrics | 2905 Mitchellville Rd, Suite 108, Bowie, MD 20716-1385 | 2007-05-16 |
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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.