Mid Atlantic Surgical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MID ATLANTIC SURGICAL GROUP

Practice address

6507 Deer Pointe Drive
Salisbury, MD 21804

Phone

(410) 543-9332

Fax

(410) 543-9237

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Kristy Gunderson

Title

Office Manager

Phone

(410) 543-9332

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Delmarva Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Salisbury, MD
  • NPI 1861490120

  Member Of

  NPD member

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Charles Bounds, M.D.

  • Vascular Surgery Physician
  • Salisbury, MD
  • NPI 1568755825
  Medicare reassignment Care Compare group NPD
• Un Yong Karl Chin, MD

  • Surgery Physician
  • Salisbury, MD
  • NPI 1326057316
  Medicare reassignment Care Compare group NPD
• William J Haberlin II, MD

  • Surgery Physician
  • Salisbury, MD
  • NPI 1912106279
  Medicare reassignment Care Compare group NPD
• Melany Camille Hughes, M.D.

  • Surgery Physician
  • Salisbury, MD
  • NPI 1396925608
  Medicare reassignment Care Compare group NPD
• Brion L McCutcheon, MD

  • Surgery Physician
  • Salisbury, MD
  • NPI 1518990944
  Medicare reassignment Care Compare group NPD
• Sydney Radding, M.D.

  • Surgery Physician
  • Salisbury, MD
  • NPI 1437561123
  Medicare reassignment Care Compare group NPD
• Hossain Said Mahmoudian, MD

  • Surgery Physician
  • Salisbury, MD
  • NPI 1720366552
  Medicare reassignment Care Compare group NPD
• Douglas B Wilhite, MD

  • Surgery Physician
  • Salisbury, MD
  • NPI 1164455580
  Medicare reassignment Care Compare group NPD
• David C Kerrigan, MD

  • Surgery Physician
  • Salisbury, MD
  • NPI 1184647414
  Medicare reassignment NPD
• David T Walker, MD

  • Surgery Physician
  • Salisbury, MD
  • NPI 1992721948
  Medicare reassignment NPD
• Andrew Douglas Kastello, M.D.

  • Trauma Surgery Physician
  • Carbondale, IL
  • NPI 1578720629

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1215122809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 DEER POINT DR.",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-543-9332",
            "fax_number": "410-543-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 DEER POINTE DRIVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-543-9332",
            "fax_number": "410-543-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-543-9332"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040551500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E Crouch MD PA
• Michael Palenchar
• Kara Hopkins Miciotto
• Mid Atlantic Primary Care
• Mid Atlantic Surgical Group
• Mid Atlantic Surgical Group
• Mid-Atlantic Pain Medicine, PA
• Michele Lynn Middleton, LMSW
• Karyn Raye Mierau, LCSW-C
• Juanita Milbourne, PT

• Surgery Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.