Jesus G Santiano, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0002556 Issued in MD

Practice address

100 8TH Street
Pocomoke, MD 21851-1129

Phone

(410) 957-1310

Fax

(410) 957-3904

NPI assigned

Aug 18, 2006

Last updated

Jul 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1003920885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 8TH STREET",
            "city": "POCOMOKE",
            "state": "MD",
            "postal_code": "218511129",
            "telephone_number": "410-957-1310",
            "fax_number": "410-957-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 8TH STREET",
            "city": "POCOMOKE",
            "state": "MD",
            "postal_code": "218511129",
            "telephone_number": "410-957-1310",
            "fax_number": "410-957-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIANO",
        "first_name": "JESUS",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0002556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043611900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul R Fleury, M.D.
• Doris C. Garner, PHD
• Amy S. Johnson, M.D.
• Kutresa K. Lankford-Purnell, CAC
• Gloria R. Nock, RN
• Ritchie Carr Shoemaker, M.D.
• Frank Linsday Weidema, O.D.
• Worcester County Health Department

• General Practice Physician in Pocomoke, MD
• Providers in Pocomoke, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.