TRAUMA SURGICAL ASSOC (NPI# 1295929602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295929602 |
| Entity Type | Organization |
| Organization Name | TRAUMA SURGICAL ASSOC |
| Practice Address |
6507 Deer Pointe Drive Salisbury MD 21804 |
| Practice Telephone | 4105439332 |
| Practice Fax Number | 4105439237 |
| Mailing Telephone | 4105439332 |
| Mailing Fax Number | 4105439237 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2010-04-14 |
| Authorized Official Name | WALTER P LISCHICK (PRESIDENT) |
| Authorized Official Telephone | 4105439332 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 040551500 | 05 |
| Street Address |
6507 DEER POINTE DRIVE |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548293962 | Walter P Lischick | Surgery | 6507 Deer Pointe Drive, Salisbury, MD 21804 | 2006-07-09 |
| 1215122809 | Mid Atlantic Surgical Group | Surgery | 6507 Deer Pointe Drive, Salisbury, MD 21804 | 2007-09-07 |
| 1326057316 | Un Yong Karl Chin | Surgery | 6507 Deer Pointe Drive, Salisbury, MD 21804 | 2006-08-07 |
| 1184647414 | David C Kerrigan | Surgery | 6507 Deer Pointe Drive, Salisbury, MD 21804 | 2006-07-26 |
| 1992721948 | David T Walker | Surgery | 6507 Deer Pointe Drive, Salisbury, MD 21804 | 2006-07-14 |
| 1518990944 | Brion L Mccutcheon | Surgery | 6507 Deer Pointe Drive, Salisbury, MD 21804 | 2006-07-09 |
| 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 | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417183435 | Fawad J Khan | Surgery | 100 E Carroll St, Salisbury, MD 21801 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275789430 | Khanjan H Nagarsheth | Surgery | 419 W Redwood St Ste 240, Baltimore, MD 21201-7004 | 2008-08-07 |
| 1255597100 | John Robert Klune | Surgery | 22 South Greene St, Shock Trauma Center, Baltimore, MD 21401 | 2008-07-31 |
| 1952564395 | Jason Anthony Brocker | Surgery | 4940 Eastern Ave Bldg 5th, Baltimore, MD 21224-2735 | 2008-07-07 |
| 1508989807 | Ahmed M Ali | Surgery | 12307 Pleasant Prospect Rd, Bowie, MD 20721-2516 | 2007-04-09 |
| 1659370039 | Michelle Denise Thomas | Surgery | 12172 Central Ave, #100, Mitchellville, MD 20721-1900 | 2005-07-19 |
| 1700415635 | University of Maryland St Joseph Foundation Inc | Surgery | 7601 Osler Dr, Towson, MD 21204-7700 | 2020-04-03 |
| 1235649526 | Johns Hopkins University | Surgery | 1800 Orleans St, Baltimore, MD 21287-0010 | 2017-10-02 |
| 1730509837 | Robert Anthony Laskowski II | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201-1544 | 2014-04-16 |
| 1164846077 | Rachel Leah Choron | Surgery | 600 N Wolfe Street, Zayed Suite 6107, Baltimore, MD 21287-0005 | 2014-02-12 |
| 1770926131 | Katherine Marie Kelley | Surgery | 22 S Greene St, Baltimore, MD 21201 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
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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.