Adam M Deporter (NPI# 1952810020, PAC ID# 0244597771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952810020 |
| PAC ID by PECOS | 0244597771 |
| Professional Enrollment ID | I20171207003022 |
| Full Name | Adam M Deporter |
| Organization Legal Name | PENINSULA REGIONAL MEDICAL CENTER |
| Address |
100 E Carroll St Salisbury MD 21801-5422 |
| Phone Number | 4105435452 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3072509702 |
| Number of Group Practice Members | 163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210019 | PENINSULA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 E Carroll St, Salisbury, MD 21801-5422 | 4105435452 | PENINSULA REGIONAL MEDICAL CENTER |
| 428 W Market St, Snow Hill, MD 21863-1127 | 4106320892 | PENINSULA REGIONAL MEDICAL CENTER |
| Organization Legal Name | PENINSULA REGIONAL MEDICAL CENTER |
| Physicians | 163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Pearson Braniff | Nurse Practitioner | Peninsula Regional Medical Center | 11101 Cathage Rd, Berlin, MD 21811-2115 |
| Jorge Vivar-aguirre | Internal Medicine | Peninsula Regional Medical Center | 1415 S Division St, Salisbury, MD 21804-7291 |
| Samah N Ramadan-nassar | Physician Assistant | Peninsula Regional Medical Center | 10344 Old Ocean City Blvd, Berlin, MD 21811-1162 |
| Lori M Latona | Nurse Practitioner | Peninsula Regional Medical Center | 11103 Cathage Rd, Berlin, MD 21811-2114 |
| Andy H Pierre | Neurosurgery | Peninsula Regional Medical Center | 1630 Woodbrooke Dr, Peninsula Regional Neurosurgery, Salisbury, MD 21804-8501 |
| Natalie Tyre | Physician Assistant | Peninsula Regional Medical Center | 428 W Market St, Snow Hill, MD 21863-1127 |
| Lisa Hohl | Nurse Practitioner | Peninsula Regional Medical Center | 30668 Sussex Hwy, Laurel, DE 19956-4421 |
| Diane M Hernandez Learn | Physician Assistant | Peninsula Regional Medical Center | 262 Tilghman Rd, Salisbury, MD 21804-1921 |
| Pooja Srikanth | Internal Medicine | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Kim Mulkay | Nurse Practitioner | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Street Address |
100 E CARROLL ST |
| City | SALISBURY |
| State | MD |
| Zip | 21801-5422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex L Mah | Anesthesiology | Sheridan Anesthesia Services of Maryland, PC | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Tolani I Aiyeku | Certified Registered Nurse Anesthetist (crna) | Sheridan Anesthesia Services of Maryland, PC | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Pooja Srikanth | Internal Medicine | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Kim Mulkay | Nurse Practitioner | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Chaitanya Korrapati | Hospitalist | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Bothwell Lee | Neurosurgery | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Usaid Hasan | Internal Medicine | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Kimberly Rogers | Nurse Practitioner | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Christopher S Snyder | Family Medicine | Peninsula Regional Medical Center | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Bonnie H Jones | Certified Registered Nurse Anesthetist (crna) | Sheridan Anesthesia Services of Maryland, PC | 100 E Carroll St, Salisbury, MD 21801-5422 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George C Weaver Iii | Psychologist, Clinical | 116 -118 W Main St, Salisbury, MD 21801-1663 | |
| Kirsten A Culler | Clinical Social Worker | 28260 Canterbury Dr, Salisbury, MD 21801-2029 | |
| Mirlourdes Beliard | Nurse Practitioner | Chesapeake Medical Solutions, Pa | 2425 N Salisbury Blvd, Salisbury, MD 21801-2138 |
| Angela L Gibbs | Family Practice | Chesapeake Medical Solutions, Pa | 2425 N Salisbury Blvd, Salisbury, MD 21801-2138 |
| Eleanor Siri | Optometry | Myeyedr Optometry of Maryland LLC | 2657 N Salisbury Blvd, Suite 104, Salisbury, MD 21801-2184 |
| Travis Light | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Unit 5, Salisbury, MD 21801-2189 |
| Kayla Klumpp | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Unit 5, Salisbury, MD 21801-2189 |
| Stephanie Lynn Simpson | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Unit 5, Salisbury, MD 21801-2189 |
| Kareen B Newvillamor | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Unit 5, Salisbury, MD 21801-2189 |
| Laura Mink | Physical Therapy | Ati Holdings LLC | 2420 N Salisbury Blvd, Salisbury, MD 21801-2189 |
| Find all physicians in zip 21801 | |||
| City | SALISBURY |
| Zip Code | 21801 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SALISBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Adam M Deporter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.