MID ATLANTIC PRIMARY CARE (NPI# 1790257855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790257855 |
| Entity Type | Organization |
| Organization Name | MID ATLANTIC PRIMARY CARE |
| Practice Address |
1325 Mount Hermon Rd Ste 9a Salisbury MD 21804-5259 |
| Mailing Address |
602 N Main St Hebron MD 21830-1056 |
| Practice Telephone | 4107138804 |
| Mailing Telephone | 4107138804 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Authorized Official Name | DR. TRACI CHURCH (OWNER) |
| Authorized Official Telephone | 4107138804 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1325 MOUNT HERMON RD STE 9A |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-5259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710380621 | Traci Ann Church | Nurse Practitioner | 1325 Mount Hermon Rd Ste 9a, Salisbury, MD 21804 | 2014-10-06 |
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386879385 | Tanya Terese Pusey | Nurse Practitioner | 2701 S Main St, Salisbury, NC 28147-7901 | 2009-05-19 |
| 1134188188 | Daisy M Werkheiser | Nurse Practitioner | 300 W Carroll St, Salisbury, MD 21801-5305 | 2006-03-20 |
| 1417573759 | Brian L Gaddy | Nurse Practitioner | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-06-23 |
| 1114168440 | Laura Crum | Nurse Practitioner | 1346 S Division St, Suite 103, Salisbury, MD 21804-7021 | 2009-03-17 |
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| 1780298588 | Andreli Professional Advising and Resources, LLC | Nurse Practitioner | 9730 Morningview Cir, Perry Hall, MD 21128-9024 | 2020-08-31 |
| 1194336941 | Phoebe Vuwansi Chongong | Nurse Practitioner | 10300 Crystal Brook Ct, Upper Marlboro, MD 20772-6687 | 2020-08-14 |
| 1306457122 | Trusted and Innovative Inc | Nurse Practitioner | 4600 Powder Mill Rd Ste 450, Beltsville, MD 20705-2686 | 2020-08-14 |
| 1225653611 | Zynith Health Care & Associates | Nurse Practitioner | 4061 Powder Mill Rd Ste 101, Beltsville, MD 20705-3156 | 2020-06-11 |
| 1124640974 | Liberty Family Care | Nurse Practitioner | 8515 Liberty Rd Ste B, Randallstown, MD 21133-4832 | 2020-05-15 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1578195475 | Baltimore Healthcare At Home, LLC | Nurse Practitioner | 9501 Branchleigh Rd, Randallstown, MD 21133-2056 | 2020-02-07 |
| 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.