PENINSULA CARDIOLOGY ASSOCIATES P.A. NPI 1902809858

NPI Information

NPI: 1902809858
Provider Name: PENINSULA CARDIOLOGY ASSOCIATES, P.A.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
400 EASTERN SHORE DR
SALISBURY, MD
ZIP 21804
Phone: (410) 749-8906
Get Directions

PENINSULA CARDIOLOGY ASSOCIATES, P.A. is a cardiovascular disease internal medicine in Salisbury, MD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PENINSULA CARDIOLOGY ASSOCIATES, P.A. NPI is 1902809858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 EASTERN SHORE DR
SALISBURY, MD
ZIP 21804-565
Phone: (410) 749-8906
Fax: (410) 219-5662

The provider's authorized official is Joanna M Anderson .
The authorized official title is Billing Manager and has the following contact phone number (410) 749-0821.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 4/29/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		=========	MARYLAND	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	=========	MARYLAND	No
3	207UN0901X	Nuclear Medicine	Nuclear Cardiology	=========	MARYLAND	No
4	2085N0904X	Radiology	Nuclear Radiology	=========	MARYLAND	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	=========	MARYLAND	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	=========	MARYLAND	No
7	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G00061	OTHER	DELAWARE	MEDICARE DELAWARE GROUP NUMBER
2	G00061	MEDICARE PIN	DELAWARE
3	911751200	MEDICAID	MARYLAND
4	H640	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND	MEDICARE GROUP NUMBER

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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