Active NPI
Eastern Shore Primary Care & Wellness, LLC
- Primary Care Clinic/Center
- Cambridge, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- EASTERN SHORE PRIMARY CARE & WELLNESS, LLC
- Practice address
- 204 Cedar St Ste 101
Cambridge, MD 21613-2395 - Phone
- (410) 936-5500
- NPI assigned
- Jul 28, 2025
- Last updated
- Jul 28, 2025
- Organization subpart
- Yes
- Parent organization
- EASTERN SHORE PRIMARY CARE & WELLNESS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin Melson Jr., CRNP
- Title
- Owner/President
- Phone
- (410) 936-5500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary | |
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
204 Cedar St Ste 101
Cambridge, MD 21613-2395
Mailing address
1505 S Salisbury Blvd
Salisbury, MD 21801-7128
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2326284 | Eastern Shore Primary Care & Wellness | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Eastern Shore Primary Care Wellness LLC
- Part of
- Eastern Shore Primary Care Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Salisbury, MD
- NPI 1285404699
Locations
204 Cedar St
Ste 101
Cambridge, MD 21613
Phone (410) 228-2170
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Nurse Practitioner
- Salisbury, MD
- NPI 1285404699
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1073496063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 S SALISBURY BLVD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218017128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 CEDAR ST STE 101",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216132395",
"telephone_number": "410-936-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN SHORE PRIMARY CARE & WELLNESS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EASTERN SHORE PRIMARY CARE & WELLNESS, LLC",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "MELSON",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "410-936-5500",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MD
- Caitlyn Kristie Dunn
- David E Eakin, DO
- Eastern Shore Area Health Education Center
- Eastern Shore Emergency Medicine Physicians, LLC
- Eastern Shore Hospital Center/Physician Group
- Eastern Shore Smile Solutions
- Easton Optical LLC (Easton Eye Care and Optical)
- Alex Eberspacher
- Nancy Ann Edgeworth, PHARM.D., CDE
- Edward C. Anderson D.C.,P.C. (Anderson Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.