PENINSULA INTERNAL MEDICINE LLC (NPI# 1578526687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578526687 |
| Entity Type | Organization |
| Organization Name | PENINSULA INTERNAL MEDICINE LLC |
| Practice Address |
31575 Winterplace Pkwy Salisbury MD 21804-1882 |
| Practice Telephone | 4105460900 |
| Practice Fax Number | 4105464976 |
| Mailing Telephone | 4105460900 |
| Mailing Fax Number | 4105464976 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | MRS. CANDY LYNN BURNS (ADMINISTRATOR) |
| Authorized Official Telephone | 4105460900 |
| Authorized Official Credential | CRNP-F |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MD | Ambulatory Health Care Facilities |
| Street Address |
31575 WINTERPLACE PKWY |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-1882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871582049 | Ronald L Passeri | Internal Medicine | 31575 Winterplace Pkwy, Salisbury, MD 21804-1882 | 2005-10-19 |
| 1326328840 | Healthcare Express of Delmarva | Clinic/Center | 31575 Winterplace Pkwy, Salisbury, MD 21804-1882 | 2011-08-29 |
| 1437463734 | Micheel Kwayke | Physician Assistant | 31575 Winterplace Pkwy, Salisbury, MD 21804-1882 | 2010-07-29 |
| 1598925083 | Diabetic Center and Endocrinology of Delmarva | Preferred Provider Organization | 31575 Winterplace Pkwy, Salisbury, MD 21804-1882 | 2008-06-10 |
| 1629106604 | Candy Lynn Burns | Nurse Practitioner | 31575 Winterplace Pkwy, Salisbury, MD 21804-1882 | 2007-03-01 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1780072017 | Core Clinical Care | Clinic/Center | 404c N. Fruitland Blvd., Salisbury, MD 21801 | 2015-01-09 |
| 1235743261 | Arman C. Moshyedi, Md, LLC | Clinic/Center | 1113 Healthway Dr, Salisbury, MD 21804-4470 | 2020-09-08 |
| 1154863090 | Adventist Physician Services, Inc. | Clinic/Center | 100 E Carroll St, Salisbury, MD 21801-5422 | 2016-11-09 |
| 1801937792 | Rowan Medical Alliance Inc. | Clinic/Center | 1904 Jake Alexander Blvd W, Salisbury, NC 28147 | 2007-02-12 |
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| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
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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.