LOWER SHORE CLINIC, INC (NPI# 1780950725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780950725 |
| Entity Type | Organization |
| Organization Name | LOWER SHORE CLINIC, INC |
| Practice Address |
505 E Main St Salisbury MD 21804-5020 |
| Practice Telephone | 4103413420 |
| Practice Fax Number | 4103413397 |
| Mailing Telephone | 4103413420 |
| Mailing Fax Number | 4103413397 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | KRISTINE GARTLITZ (CLINIC DIRECTOR) |
| Authorized Official Telephone | 4103413420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 335475000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 505 E Main St, Salisbury, MD 218045020 | 4103413420 | 4103413397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760003347 | Lower Shore Clinic, Inc | Community/Behavioral Health | 11622 Beckford Ave, Princess Anne, MD 21853-1152 | 2020-05-05 |
| Street Address |
505 E MAIN ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336704584 | Labake G Ogunnupe | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2019-05-02 |
| 1538683479 | Kristin Kelly | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2017-08-02 |
| 1528599677 | Lower Shore Pharmacy | Pharmacy | 505 E Main St, Salisbury, MD 21804-5020 | 2017-03-21 |
| 1629515812 | Kristine Hickman | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2017-01-25 |
| 1316329378 | Karly Peterson | Physician Assistant | 505 E Main St, Salisbury, MD 21804-5020 | 2015-06-25 |
| 1699180307 | Andrew Karten | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2014-06-23 |
| 1164773248 | Jeannette Kathleen Buchanan | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2012-09-28 |
| 1356608137 | Kristine R Garlitz | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2012-04-18 |
| 1578831087 | Susan Lee Gray | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2011-12-12 |
| 1194956565 | Patricia Linden Schlottman | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2009-08-04 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053857045 | Amy D. Walsh, M.d. | Clinic/Center | 106 Milford St, Suite 306, Salisbury, MD 21804-6953 | 2017-01-13 |
| 1558672006 | Joan Smith, D.o. P.a. | Clinic/Center | 31664 Old Ocean City Rd, Salisbury, MD 21804-1800 | 2010-06-30 |
| 1871775072 | Joy Madarang-lewis M.d., P.a. | Clinic/Center | 1405 S Division St, Salisbury, MD 21804-7232 | 2007-11-29 |
| 1619163094 | Salisbury Va Medical Center | Clinic/Center | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2007-09-19 |
| 1659409944 | Rowan Primary Care, PC | Clinic/Center | 1406a W Innes St, Salisbury, NC 28144-2502 | 2007-03-01 |
| 1104968627 | Piedmont Family Medicine, P.a. | Clinic/Center | 1401 W Innes St Ste B, Salisbury, NC 28144-2575 | 2007-02-12 |
| 1275673097 | Southern Clinics and Urgent Care, Pa | Clinic/Center | 812 W Innes St, Salisbury, NC 28144-4152 | 2007-02-08 |
| 1710949037 | Vamc-salisbury | Clinic/Center | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2006-04-03 |
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| 1982226023 | Complete Access Care, LLC | Clinic/Center | 1035 Ingleside Ave, Catonsville, MD 21228-1318 | 2020-05-12 |
| 1184245045 | Comfort Primary Care | Clinic/Center | 9966 Royal Commerce Pl, Upper Marlboro, MD 20774-1163 | 2020-05-01 |
| 1407476955 | Rcc Community Services, Inc | Clinic/Center | 2628 Harford Rd, Baltimore, MD 21218-4928 | 2020-04-24 |
| 1013536960 | Philomena Nufunkuen Keli | Clinic/Center | 15012 Saddle Creek Dr, Burtonsville, MD 20866-2211 | 2020-04-10 |
| 1629606454 | Advanced Primary Care | Clinic/Center | 525 Eastern Ave # B2, Fairmount Heights, MD 20743-1677 | 2020-03-28 |
| 1588211890 | Two Tree Health Associates, LLC | Clinic/Center | 10 S Hanson St Ste 21, Easton, MD 21601-3078 | 2019-08-21 |
| 1427604099 | Ecarenow LLC | Clinic/Center | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-09 |
| 1326691874 | Lotus Healthcare and Wellness LLC | Clinic/Center | 6495 New Hampshire Ave Ste B140, Hyattsville, MD 20783-3245 | 2019-07-23 |
| 1831750546 | Matobi Family Healthcare,llc | Clinic/Center | 7350 Van Dusen Rd Ste 340, Laurel, MD 20707-5264 | 2019-06-24 |
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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.