PENINSULA ENDOSCOPY CENTER, LLC (NPI# 1023162013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023162013 |
| Entity Type | Organization |
| Organization Name | PENINSULA ENDOSCOPY CENTER, LLC |
| Practice Address |
9315 Ocean Highway Delmar MD 21875-2339 |
| Practice Telephone | 4108969005 |
| Practice Fax Number | 4108969337 |
| Mailing Telephone | 4108969005 |
| Mailing Fax Number | 4108969337 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-09-10 |
| Authorized Official Name | DR. KOTA L CHANDRASEKHARA (PRESIDENT) |
| Authorized Official Telephone | 4108969005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
014352 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 409018700 | 05 |
| Street Address |
9315 OCEAN HIGHWAY |
| City | DELMAR |
| State | MD |
| Zip Code | 21875-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922115542 | Beatrice Hamilton | Counselor | 28 East State Street, Delmar, MD 21875 | 2006-08-23 |
| 1194171389 | Delmarva Counseling Center LLC | Clinic/Center | 28 E State St, Delmar, MD 21875-1601 | 2016-05-06 |
| 1811331150 | Delmarva Counseling Center LLC | Counselor | 28 E State St, Delmar, MD 21875-1601 | 2013-04-17 |
| 1205103355 | Delmarva Counseling Center | Early Intervention Provider Agency | 28 E State St, Delmar, MD 21875-1601 | 2011-11-17 |
| 1760482004 | Donna N. Jacobs | Dentist | 4 E Chestnut St, Delmar, MD 21875-1610 | 2005-07-28 |
| 1578811691 | Delmar Manor | Assisted Living Facility | 31093 E Line Rd, Delmar, MD 21875-2015 | 2012-08-21 |
| 1790222537 | Kimberley Houlihan | Social Worker | 30550 Gordy Mill Rd, Delmar, MD 21875-2043 | 2017-01-31 |
| 1316576499 | Kimberley Ann Houlihan LLC | Clinic/Center | 30550 Gordy Mill Rd, Delmar, MD 21875-2043 | 2020-04-02 |
| 1871880740 | Mohammad Mustafa Choudhry | Internal Medicine | 8990 Morgans Ridge Dr, Delmar, MD 21875-2083 | 2011-06-29 |
| 1154629764 | Bimal Chandra Das | Pharmacist | 1301 E State St, Delmar, MD 21875-2330 | 2011-03-06 |
| Find all providers in zip 21875 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1528680865 | Meridian Surgery Center LLC | Clinic/Center | 19638 Leitersburg Pike Ste 205, Hagerstown, MD 21742-1515 | 2020-05-09 |
| 1346862869 | Nspc Surgery Center of Maryland, LLC | Clinic/Center | 6710 Oxon Hill Rd Ste 550b, Oxon Hill, MD 20745-1117 | 2020-05-07 |
| 1225665292 | Annapolis Endoscopy Center LLC | Clinic/Center | 1419 Forest Dr Ste 105, Annapolis, MD 21403-1474 | 2020-03-26 |
| 1992345748 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 | 2020-01-09 |
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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.