PENINSULA ORTHOPAEDIC ASSOCIATES PA (NPI# 1730295098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730295098 |
| Entity Type | Organization |
| Organization Name | PENINSULA ORTHOPAEDIC ASSOCIATES PA |
| Practice Address |
1675 Woodbrooke Drive Salisbury MD 21804 |
| Practice Telephone | 4107494154 |
| Practice Fax Number | 4108609583 |
| Mailing Telephone | 4107494154 |
| Mailing Fax Number | 4108609583 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2009-05-08 |
| Authorized Official Name | THOMAS A BRANDON (PRESIDENT CEO) |
| Authorized Official Telephone | 4107494154 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1675 WOODBROOKE DRIVE |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352375 | John Joseph Greco | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2005-11-09 |
| 1336217082 | Robert Scott Becker | Physician Assistant | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-12-01 |
| 1417023326 | Jason Matthew Scopp | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-11-24 |
| 1669548574 | Walton Francis Reddish | Nurse Practitioner | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-11-24 |
| 1871669796 | Kevin Ronald Mull | Physician Assistant | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-11-24 |
| 1184790008 | Eric Wright Eaton | Physician Assistant | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-11-24 |
| 1639191687 | Richard Kang | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-07-25 |
| 1437175536 | Jessica Marie Dunn | Physician Assistant | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-07-14 |
| 1114942539 | James Andrew Trauger | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2006-07-13 |
| 1497736128 | Eric Howard Franks | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2005-11-09 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881663730 | Robert S Humble | Orthopaedic Surgery | 605 Grove St, Salisbury, NC 28144-3233 | 2006-03-14 |
| 1659352375 | John Joseph Greco | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2005-11-09 |
| 1740261809 | Harrison Armistead Latimer | Orthopaedic Surgery | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2005-11-07 |
| 1336136837 | Eugene A. Eline | Orthopaedic Surgery | 1910 Jake Alexander Blvd W Ste 202, Salisbury, NC 28147-1165 | 2005-09-30 |
| 1043719610 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 340 Jake Alexander Blvd W, Ste 101, Salisbury, NC 28147-1364 | 2018-02-08 |
| 1689185910 | Novant Medical Group, Inc. | Orthopaedic Surgery | 1910 Jake Alexander Blvd W Ste 202, Salisbury, NC 28147-1165 | 2017-10-13 |
| 1861913311 | Bo Alan Wilkinson | Orthopaedic Surgery | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2017-07-05 |
| 1841616950 | Novant Medical Group, Inc | Orthopaedic Surgery | 400 Mocksville Ave, Salisbury, NC 28144-2740 | 2014-03-13 |
| 1396182945 | Taylor Joseph Wiley | Orthopaedic Surgery | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2013-05-22 |
| 1407190010 | Novant Medical Group, Inc | Orthopaedic Surgery | 1035 Lincolnton Rd, Salisbury, NC 28144-6277 | 2012-11-20 |
| 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.