CHILDREN'S MEDICAL GROUP OF SALISBURY, PA (NPI# 1568429538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568429538 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S MEDICAL GROUP OF SALISBURY, PA |
| Other Organization Name | AGARWAL,CLENDENEN, AND ASSOCIATES, PA |
| Practice Address |
217 Phillip Morris Dr Salisbury MD 21804-1923 |
| Practice Telephone | 4105463173 |
| Practice Fax Number | 4107424804 |
| Mailing Telephone | 4105463173 |
| Mailing Fax Number | 4107424804 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM W CLENDENEN (CO-OWNER) |
| Authorized Official Telephone | 4105463173 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Agarwal,Clendenen, and Associates, PA | Former Legal Business Name - Organization |
| Street Address |
217 PHILLIP MORRIS DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639136633 | Saadat A Panni | Pediatrics | 217 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-04-26 |
| 1598722167 | Lisa A Yamakawa | Pediatrics | 217 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-04-27 |
| 1801853486 | William W. Clendenen | Pediatrics | 217 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-04-27 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104152024 | Novant Medical Group Inc | Pediatrics | 111 S Salisbury Gq Ave, Salisbury, NC 28146-8150 | 2009-10-28 |
| 1780805366 | Lisa Stephanie Gall | Pediatrics | 106 Milford Street Suite 201, Salisbury, MD 21804 | 2007-05-01 |
| 1427143536 | Mohsin Ansari Md Faap PC | Pediatrics | 106 Pine Bluff Rd., Suite # 11, Salisbury, MD 21801 | 2006-10-04 |
| 1083700488 | Andras Kovacs | Pediatrics | 106 Milford St. Ste 201, Salisbury, MD 21804 | 2006-10-04 |
| 1083705198 | Jennifer Lynn Wehberg | Pediatrics | 1415 Wesley Dr, Salisbury, MD 21801-7130 | 2006-09-27 |
| 1356377691 | Mcfayden Eyo & Strottand Assoc Pa | Pediatrics | 1205 Pemberton, Ste 102, Salisbury, MD 21801-2483 | 2006-06-25 |
| 1639136633 | Saadat A Panni | Pediatrics | 217 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-04-26 |
| 1063489284 | Kimberly Cuomo | Pediatrics | 100 E Carroll Street, Salisbury, MD 21801 | 2006-03-07 |
| 1508849977 | Ephrem Daniel | Pediatrics | 211 Maryland Ave, Salisbury, MD 21801-5805 | 2005-11-21 |
| 1932182359 | Melinda Castillo Maranan | Pediatrics | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2005-11-21 |
| 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.