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PENINSULA REGIONAL MEDICAL CENTER NPI 1023240769


NPI Information

NPI: 1023240769
Provider Name: PENINSULA REGIONAL MEDICAL CENTER

Doing Business As: PENINSULA GASTROENTEROLOGY

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
560 RIVERSIDE DR
SUITE A 206
SALISBURY, MD
ZIP 21801
Phone: (410) 912-5640
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PENINSULA REGIONAL MEDICAL CENTER is a gastroenterology internal medicine in Salisbury, MD. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PENINSULA REGIONAL MEDICAL CENTER NPI is 1023240769. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Peninsula Gastroenterology.

The provider's business location address is:

560 RIVERSIDE DR
SUITE A 206
SALISBURY, MD
ZIP 21801-700
Phone: (410) 912-5640
Fax: (410) 912-5641

The provider's authorized official is Donna E Horner .
The authorized official title is Credentialing Coordinator and has the following contact phone number (410) 543-7531.

The enumeration date for this NPI number is 8/13/2009 and was last updated on 8/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K230MEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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