PENINSULA PULMONARY ASSOC PA (NPI# 1326039132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326039132 |
| Entity Type | Organization |
| Organization Name | PENINSULA PULMONARY ASSOC PA |
| Practice Address |
100 East Carroll St Prmc Station #379 Salisbury MD 21801-5422 |
| Practice Telephone | 4105437722 |
| Practice Fax Number | 4105437725 |
| Mailing Telephone | 4105437722 |
| Mailing Fax Number | 4105437725 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM J NAGEL (PRESIDENT) |
| Authorized Official Telephone | 4105437722 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAMSI | 229675 | 01 | |
| DE | MEDICAL ASSISTANCE | 0000631802 | 01 |
| BLUE SHIELD NATL CAPITAL | E601 | 01 | |
| MD | BLUE CROSS BLUE SHIELD | KU52PE | 01 |
| RAILROAD MEDICARE | CA8835 | 01 | |
| UNITED MINE WORKERS | 1503877 | 01 |
| Street Address |
100 EAST CARROLL ST PRMC STATION #379 |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588974471 | Patrick Porter Dougherty | Pharmacist | 100 East Carroll St, Peninsula Regional Medical Center, Salisbury, MD 21801 | 2010-10-14 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1780769885 | Stephen D Proctor | Internal Medicine | 421 Statesville Blvd, Salisbury, NC 28144-2317 | 2006-10-26 |
| 1881635183 | Genesis Eldercare Physician Services LLC | Internal Medicine | 6508 Deer Pointe Dr, Suite A, Salisbury, MD 21804 | 2006-06-09 |
| 1124643184 | Tidalhealth Specialty Care, LLC | Internal Medicine | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-15 |
| 1205097698 | Yashvir Sangwan | Internal Medicine | 100 E Carroll St, Division of Pulmonary and Critical Care, Salisbury, MD 21801-5422 | 2008-06-19 |
| 1154311561 | William Joseph Nagel | Internal Medicine | 100 E Carroll St, Prmc Station 379, Salisbury, MD 21801-5422 | 2005-10-26 |
| 1184614505 | Gregory Noel Thompson | Internal Medicine | 100 E Carroll St, Prmc Station 379, Salisbury, MD 21801-5422 | 2005-10-26 |
| 1083604482 | Caleb Rodney Layton Jr. | Internal Medicine | 100 E Carroll St, Prmc Station #379, Salisbury, MD 21801-5422 | 2005-10-26 |
| 1386634798 | Tania Lynn Hudson | Internal Medicine | 100 E Carroll St, Prmc Station #379 Peninsula Pulmonary Associates, Salisbury, MD 21801-5422 | 2005-10-26 |
| 1619967049 | Robert Thomas Chasse | Internal Medicine | 100 E Carroll St, Prmc Station 379, Salisbury, MD 21801-5422 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1215577077 | Anne Arundel Physicians Group, LLC | Internal Medicine | 2003 Medical Pkwy Ste 310, Annapolis, MD 21401-7944 | 2020-01-09 |
| 1063890036 | Albert Shan-ching Sun Estate Chen Chih Sun, Per Rep | Internal Medicine | 1200 Temfield Rd., Towson, MD 21286 | 2015-05-11 |
| 1851637276 | Joel Moss | Internal Medicine | Room 6d05 Bldg 10, National Institutes of Health, Bethesda, MD 20892-1590 | 2012-12-13 |
| 1013276591 | Maryland Pulmonary Associates LLC | Internal Medicine | 10307 Fleming Ave, Bethesda, MD 20814-2162 | 2012-05-03 |
| 1407158389 | Victor Hrehorovich | Internal Medicine | 10913 Tony Dr, Lutherville, MD 21093-3618 | 2010-11-26 |
| 1700103231 | Robert Edward Walker | Internal Medicine | 3902 Blackthorn St, Chevy Chase, MD 20815-5056 | 2010-04-23 |
| 1679766950 | Maryland Lung Associates Pa | Internal Medicine | 3449 Wilkens Avenue, Suite 207, Balitimore, MD 21229 | 2007-08-21 |
| 1669670618 | John C Huetsch | Internal Medicine | 5501 Hopkins Bayview Cir Fl 4, Baltimore, MD 21224-6821 | 2007-07-10 |
| 1316067929 | Lev Agarunov | Internal Medicine | 12154 Darnestown Rd, Ste 625, Gaithersburg, MD 20878-2206 | 2007-03-29 |
| 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.