Individual provider Active NPI

Robert Mark Paschall, DO

  • Neurology Physician
  • Salisbury, MD
National Provider Identifier
1164417499
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H89747 Issued in MD
Practice address
1630 Woodbrooke Dr
Salisbury, MD 21804-8501
Phone
(410) 912-6114
Fax
(410) 912-6115
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0102036108 VA
Neurology Physician 2084N0400X H89747 MD Primary

Addresses

Primary practice location

1630 Woodbrooke Dr
Salisbury, MD 21804-8501

Mailing address

1630 Woodbrooke Dr
Salisbury, MD 21804-8501
Phone (410) 912-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100217000643 VA Practitioner - Neurology 9133200603 Reassigns benefits to 1 organization
I20200901000053 MD Practitioner - Neurology 9133200603 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

1630 Woodbrooke Dr
Salisbury, MD 21804-8501

1640 Woodbrooke Dr
Salisbury, MD 21804-8501
Phone (410) 912-5640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102036108VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Delmarva Endoscopy Center LLC CurrentSince Jun 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Current Accepting new patients
Tidalhealth Primary Care, LLC CurrentSince Feb 21, 2024 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 27, 2010 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Eastern Shore Physicians & Surgeons,Inc CurrentSince Jul 19, 1993 Accepting new patients
Riverside Physician Services, Inc. Neurology CurrentSince Sep 27, 2010 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients

Locations

305 10th St
Ste 101
Pocomoke City, MD 21851
Phone (410) 912-6167

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

1630 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 912-6114

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1164417499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 WOODBROOKE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218048501",
            "telephone_number": "410-912-6114",
            "fax_number": "410-912-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 WOODBROOKE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218048501",
            "telephone_number": "410-912-6114",
            "fax_number": "410-912-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCHALL",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0102036108",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "H89747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.