Mid-Shore Internal Medicine,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0053094 Issued in MD

Legal business name

MID-SHORE INTERNAL MEDICINE,LLC

Practice address

321 Bloomingdale Ave
Federalsburg, MD 21632-1727

Phone

(410) 754-5505

Fax

(410) 754-5544

NPI assigned

Sep 25, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Matthew Reinbold, M.D.NPI 1255431441

Title

Owner

Phone

(410) 754-5505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Matthew Reinbold, M.D.

  • Internal Medicine Physician
  • Federalsburg, MD
  • NPI 1255431441
  Authorized official Same address or phone

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1023118221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BLOOMINGDALE AVE",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216321727",
            "telephone_number": "410-754-5505",
            "fax_number": "410-754-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BLOOMINGDALE AVE",
            "city": "FEDERALSBURG",
            "state": "MD",
            "postal_code": "216321727",
            "telephone_number": "410-754-5505",
            "fax_number": "410-754-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SHORE INTERNAL MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "REINBOLD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-754-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0053094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144000400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendrick Lee, DMD, MS
• Morgan Elizabeth Lushis, P.T.A.
• LW Health Care
• David Allen Martin, DMD
• Lisa May, LCSW-C
• Pepper Farm Wellness
• Rachel Pinder
• Amanda Priestley
• Paul Matthew Reinbold, M.D.
• Roslyn Roxanne Robinson-Kellum, DDS

• Internal Medicine Physician in Federalsburg, MD
• Providers in Federalsburg, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.