PENINSULA REGIONAL MEDICAL CENTER (NPI# 1861836330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861836330 |
| Entity Type | Organization |
| Organization Name | PENINSULA REGIONAL MEDICAL CENTER |
| Other Organization Name | PENINSULA GENERAL HOSPITAL |
| Practice Address |
30265 Commerce Dr Delmarva Health Pavilion Millsboro DE 19966-3593 |
| Mailing Address |
100 E Carroll St Patient Accounts Salisbury MD 21801-5422 |
| Practice Telephone | 4105437437 |
| Practice Fax Number | 4105437020 |
| Mailing Telephone | 4105464600 |
| Mailing Fax Number | 4105437020 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | MR. JEFF R. KARNS (EXEC.DIR. PATIENT FINANCIAL SVCS.) |
| Authorized Official Telephone | 4105437437 |
| Authorized Official Credential | CPAM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 22-003 | MD | Hospitals |
| Other Name | Type Code |
|---|---|
| Peninsula General Hospital | Former Legal Business 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 |
| 1518399252 | Peninsula Regional Medical Center | Dietitian, Registered | 1415 S Division St, Salisbury, MD 21804-7291 | 2013-08-05 |
| 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 |
30265 COMMERCE DR DELMARVA HEALTH PAVILION |
| City | MILLSBORO |
| State | DE |
| Zip Code | 19966-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934245 | Harry A Lehman IIi | Pediatrics | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2005-07-05 |
| 1598148231 | Sabina Bonfadini | Nurse Practitioner | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2015-06-30 |
| 1942688197 | Peninsula Regional Rehabilitation, LLC | Physical Therapist | 30265 Commerce Dr, Suite 105, Millsboro, DE 19966-3593 | 2015-05-08 |
| 1861887341 | Thomas Mclean | Pharmacist | 30265 Commerce Dr, Suite 106a, Millsboro, DE 19966-3593 | 2015-04-01 |
| 1821492745 | Peninsula Regional Medical Center | Pharmacy | 30265 Commerce Dr, Suite 106 A, Millsboro, DE 19966-3593 | 2014-10-21 |
| 1902207681 | Joseph Zimmerman | Physical Therapy Assistant | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2014-09-12 |
| 1689085847 | Peninsula-nrh Regional Rehabilitation | Clinic/Center | 30265 Commerce Dr, Suite 105, Millsboro, DE 19966-3593 | 2014-05-09 |
| 1902194376 | Amudha Boopathi | Pediatrics | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2011-07-19 |
| 1841464054 | Sareen Christine Barbouletos | Internal Medicine | 30265 Commerce Dr, Suite 207, Millsboro, DE 19966-3593 | 2008-04-17 |
| 1932239381 | Melinda Ricker | Physician Assistant | 30265 Commerce Dr, Suite 207, Millsboro, DE 19966-3593 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178459 | Ashkan Ashkani | Physical Therapist | Back Bay Area Park Center, 26396 Bay Farm Rd, Unit #1, Millsbro, DE 19966 | 2020-03-09 |
| 1962053330 | Ryan P Tezak | Physical Therapist | 30166 Commerce Dr, Millsboro, DE 19966 | 2019-09-26 |
| 1598222390 | Benchmark Physical Therapy of Delaware LLC | Occupational Therapist | 30166 Commerce Drive, Millsboro, DE 19966 | 2019-02-27 |
| 1285106591 | Coastal Counseling | Clinic/Center | 5 Chelsea Square, Millsboro, DE 19966 | 2018-12-27 |
| 1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
| 1740774215 | Melissa Alyanna Gorospe Lasig | Physical Therapist | 2315 Washington Street, Millsboro, DE 19966 | 2018-06-19 |
| 1205344728 | Rehabilitation Consultants, Inc. | Clinic/Center | 36932 Silicato Drive, Suite 5, Millsboro, DE 19966 | 2018-01-18 |
| 1073044095 | Swapna Bhupathi | Physical Therapist | Atlantic Shore Rehab and Health Center, 231 S Washington Street, Millsboro, DE 19966 | 2017-03-22 |
| 1447618178 | Ashley Deering | Physical Therapy Assistant | 20383 Charlotte Blvd, Millsboro, DE 19966 | 2016-02-09 |
| 1073971537 | Jennifer Noonan | Registered Nurse | 34141 Minnow Lane, Long Neck, DE 19966 | 2016-01-29 |
| Find all providers in zip 19966 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639616337 | Robert Delzer | General Acute Care Hospital | 1700 N Dupont Hwy, Apt. H304, Dover, DE 19901-7811 | 2017-01-19 |
| 1538605795 | Christiana Care Health System | General Acute Care Hospital | Christiana Care Heart & Vascular Health, 4755 Ogletown-stanton Road, Newark, DE 19718-0001 | 2017-01-12 |
| 1194180752 | Deborah Cofield | General Acute Care Hospital | 22 Tamarac Ct, Dover, DE 19904-6054 | 2015-12-28 |
| 1891165932 | Jeffrey Mark Hudson | General Acute Care Hospital | 18541 Rose Ct, Lewes, DE 19958-5912 | 2015-10-01 |
| 1114302239 | Stephanie Moran | General Acute Care Hospital | 10 Greenview Dr, Dover, DE 19901-5744 | 2015-07-30 |
| 1568849891 | Hannah Adams | General Acute Care Hospital | 39650 Turtle Run, Bethany Beach, DE 19930-3657 | 2015-05-06 |
| 1336539147 | Paula Michelle Wilson | General Acute Care Hospital | 112 Martin Ln, Rehoboth Beach, DE 19971-9711 | 2015-01-31 |
| 1588054811 | Beebe Healthcare | General Acute Care Hospital | 26179 Manor Way, Georgetown, DE 19947-2597 | 2015-01-26 |
| 1609219286 | Annmarie Fenton-kowrach | General Acute Care Hospital | 283 N Dupont Hwy, Dover, DE 19901-7532 | 2013-04-12 |
| 1336456201 | Christiana Care Health Services | General Acute Care Hospital | 4755 Stanton Ogletown Rd, Newark, DE 19718-0001 | 2010-09-13 |
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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.