EASTERN SHORE MEDICAL CENTER PA (NPI# 1215075890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215075890 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE MEDICAL CENTER PA |
| Practice Address |
914a Eastern Shore Dr Salisbury MD 21804-6410 |
| Practice Telephone | 4105461331 |
| Mailing Telephone | 4105461331 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | DR. MAHESHA THIMMARAYAPPA (PRESIDENT) |
| Authorized Official Telephone | 4105461331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| EASTERN SHORE MEDICAL CENTER PA | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 910 Eastern Shore Dr, Salisbury, MD 218046410 | 4105461331 | 4105438107 |
| Street Address |
914A EASTERN SHORE DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1427305598 | Geeti Dhillon | Internal Medicine | 560 Riverside Dr Ste A106, Salisbury, MD 21801-4702 | 2012-08-08 |
| 1356667505 | Kobina Arhin Wilmot | Internal Medicine | 911 W Henderson St Ste 230, Salisbury, NC 28144-2700 | 2010-04-13 |
| 1659605202 | Allen Wayne Tustin | Internal Medicine | 5342 Sharps Point Rd, Salisbury, MD 21801-9600 | 2009-09-30 |
| 1760613897 | James Leo Clifford | Internal Medicine | 5289 Silver Run Lane, Salisbury, MD 21801 | 2009-08-06 |
| 1073750865 | Katerina Bozhikova Todorov | Internal Medicine | 1665 Woodbrooke Drive, Salisbury, MD 21804 | 2009-01-15 |
| 1285887323 | Frank T. Shafer | Internal Medicine | 104 Circle Dr, Salisbury, NC 28144-3310 | 2008-11-03 |
| 1518173905 | J N Holmes Md and Associates General Internal Medicine Pllc | Internal Medicine | 102 Mocksville Ave, Salisbury, NC 28144-3345 | 2007-05-15 |
| 1407977309 | Gavin C. Little, D.o., LLC | Internal Medicine | 46 Toll Rd Ste C, Salisbury, MA 01952-1435 | 2007-04-02 |
| 1508912239 | Helen M Baldado | Internal Medicine | 547 Riverside Drive, Suite F, Salisbury, MD 21801 | 2007-01-26 |
| 1922163294 | Deepak Saggar | Internal Medicine | 547 Riverside Dr, Suite# G, Salisbury, MD 21801-5369 | 2006-12-26 |
| 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.