PENINSULA SURGICAL GROUP, P.A. (NPI# 1811084304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811084304 |
| Entity Type | Organization |
| Organization Name | PENINSULA SURGICAL GROUP, P.A. |
| Other Organization Name | SALISBURY DIAGNOSTIC AND BREAST CENTER |
| Practice Address |
145 East Carroll Street Salisbury MD 21801-5454 |
| Mailing Address |
Po Box 3317 Salisbury MD 21802-3317 |
| Practice Telephone | 4105468400 |
| Practice Fax Number | 4105482707 |
| Mailing Telephone | 4105482600 |
| Mailing Fax Number | 4105482607 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NICHOLAS J. DUDAS (PHYSICIAN) |
| Authorized Official Telephone | 4105482600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Salisbury Diagnostic and Breast Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962484428 | Peninsula Surgical Group, P.a. | Surgery | 145 E Carroll St, Salisbury, MD 21801-5454 | 2005-11-18 |
| Street Address |
145 EAST CARROLL STREET |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-5454 |
| 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 | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033592662 | Tidalhealth Peninsula Regional, Inc. | Clinic/Center | 804 Snow Hill Rd, Salisbury, MD 21804-1938 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043756232 | Atlantic General Hospital Corp | Clinic/Center | 12308 Ocean Gtwy Ste 5, Ocean City, MD 21842-9341 | 2017-01-11 |
| 1831283050 | Oakland Mri Center, LLC | Clinic/Center | 259 N. Fourth St., Oakland, MD 21550 | 2006-10-03 |
| 1336184241 | Washington Open Mri Inc | Clinic/Center | 15005 Shady Grove Rd Ste 110, Rockville, MD 20850-6341 | 2006-06-17 |
| 1639401839 | Kmh Healthcare Corporation | Clinic/Center | 4000 Old Court Rd, Suite 103, Pikesville, MD 21208-2800 | 2010-02-12 |
| 1285965335 | Kmh Healthcare Coporation | Clinic/Center | 724 Maiden Choice Ln, Suite 102, Catonsville, MD 21228-5911 | 2010-01-28 |
| 1861723926 | Khm Healthcare Corporation | Clinic/Center | 1147 S Hanover St, Baltimore, MD 21230-3717 | 2010-01-28 |
| 1861723900 | Kmh Healthcare Corporation | Clinic/Center | 2 Colgate Dr, Suite 204, Forest Hill, MD 21050-2624 | 2010-01-28 |
| 1831420975 | Kmh Healthcare Corporation | Clinic/Center | 10151 York Rd, Cockeysville, MD 21030-3314 | 2010-01-28 |
| 1780915835 | Kmh Healthcare Corporation | Clinic/Center | 1777 Reisterstown Rd, Suite14, Pikesville, MD 21208-1306 | 2010-01-28 |
| 1063446078 | Touchstone Imaging of Bowie LLC | Clinic/Center | 3327 Superior Ln, Ste 103, Bowie, MD 20715-1922 | 2006-07-10 |
| 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.