PENINSULA REGIONAL MEDICAL CENTER (NPI# 1023240769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023240769 |
| Entity Type | Organization |
| Organization Name | PENINSULA REGIONAL MEDICAL CENTER |
| Other Organization Name | PENINSULA GASTROENTEROLOGY |
| Practice Address |
560 Riverside Dr Suite A 206 Salisbury MD 21801-4700 |
| Mailing Address |
100 E Carroll St Salisbury MD 21801-5422 |
| Practice Telephone | 4109125640 |
| Practice Fax Number | 4109125641 |
| Mailing Telephone | 4105437531 |
| Mailing Fax Number | 4109126386 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | DONNA E HORNER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4105437531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Peninsula Gastroenterology | Doing Business As 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 |
| 1861836330 | Peninsula Regional Medical Center | General Acute Care Hospital | 30265 Commerce Dr, Delmarva Health Pavilion, Millsboro, DE 19966-3593 | 2013-04-26 |
| 1508000746 | Peninsula Regional Medical Center | Internal Medicine | 100 E Carroll St, Salisbury, MD 21801-5422 | 2009-04-30 |
| Street Address |
560 RIVERSIDE DR SUITE A 206 |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314260 | Riverside Neurology Associates, P.a. | Specialist | 560 Riverside Dr, Ste B204, Salisbury, MD 21801-4703 | 2005-05-23 |
| 1124507470 | Alaina Louise Vangelder | Counselor | 560 Riverside Dr, Salisbury, MD 21801 | 2018-08-08 |
| 1497125322 | Krause Smiles Pa | Dentist | 560 Riverside Dr, Suite A205, Salisbury, MD 21801-4700 | 2015-10-05 |
| 1871937003 | Karini A Maximoss | Obstetrics & Gynecology | 560 Riverside Dr, Suite A-204, Salisbury, MD 21801-4700 | 2013-04-18 |
| 1033471990 | John M Thomas | Podiatrist | 560 Riverside Dr, Suite A-101, Salisbury, MD 21801-4700 | 2012-06-15 |
| 1801156815 | Kevin Thomas Dpm PC | Podiatrist | 560 Riverside Dr, A-101, Salisbury, MD 21801-4700 | 2012-05-23 |
| 1740596774 | Walter C Schaefer Md Pa | Otolaryngology | 560 Riverside Dr, B-102, Salisbury, MD 21801-4700 | 2010-08-27 |
| 1184952996 | Gerald Krause, Dds, Pa | Dentist | 560 Riverside Dr, A205, Salisbury, MD 21801-4700 | 2009-12-07 |
| 1063649754 | Trina P Monis | Podiatrist | 560 Riverside Dr, Suite A-101, Salisbury, MD 21801-4700 | 2009-06-19 |
| 1033345913 | Emily Catherine Laustsen | Physician Assistant | 560 Riverside Dr, Suite B204, Salisbury, MD 21801-4700 | 2009-06-05 |
| Find all providers in the same location | ||||
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1104963990 | Sam Tellawi Md Pa | Internal Medicine | 560 Riverside Dr Ste A206, Salisbury, MD 21801-4704 | 2007-01-31 |
| 1154490886 | John A Routenberg | Internal Medicine | 205 South Division Street, Salisbury, MD 21801 | 2006-11-07 |
| 1174574750 | Daulat S Haldea | Internal Medicine | 310 Mocksville Ave, Salisbury, NC 28144-3328 | 2006-05-16 |
| 1013532969 | Tidalhealth Specialty Care, LLC | Internal Medicine | 560 Riverside Dr Ste A206, Salisbury, MD 21801-4704 | 2020-06-16 |
| 1467000604 | Leigh Casper | Internal Medicine | 1809 Brenner Ave Ste 102, Salisbury, NC 28144-2567 | 2019-08-30 |
| 1598297806 | Rowan Diagnostic Clinic, Pa | Internal Medicine | 1809 Brenner Ave, Salisbury, NC 28144-2558 | 2017-03-28 |
| 1003196353 | Vineet Korrapati | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2011-08-18 |
| 1922240332 | John A Routenberg Md Pa | Internal Medicine | 205 S Division St, Salisbury, MD 21801-4930 | 2009-03-31 |
| 1912172149 | Pushpjeet Singh Kanwar | Internal Medicine | 560 Riverside Dr Ste A206, Salisbury, MD 21801 | 2008-04-29 |
| Find all providers in SALISBURY | ||||
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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.