Organization Active NPI

Elizabeth Pernal, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Salisbury, MD
National Provider Identifier
1083618862
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0045036 Issued in MD
Legal business name
ELIZABETH PERNAL, M.D., P.A.
Practice address
813A Eastern Shore Dr
Salisbury, MD 21804-5943
Phone
(410) 860-5151
Fax
(410) 860-2026
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elizabeth Pernal, M.D.
Title
President
Phone
(410) 860-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X D0045036 MD Primary

Addresses

Primary practice location

813A Eastern Shore Dr
Salisbury, MD 21804-5943

Mailing address

813A Eastern Shore Dr
Salisbury, MD 21804-5943
Phone (410) 860-5151

National Provider Directory

National Provider Directory

Locations

813 Eastern Shore Dr
Ste A
Salisbury, MD 21804
Phone (410) 860-5151

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083618862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813A EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045943",
            "telephone_number": "410-860-5151",
            "fax_number": "410-860-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813A EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045943",
            "telephone_number": "410-860-5151",
            "fax_number": "410-860-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH PERNAL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERNAL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-860-5151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0045036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.