Eastern Shore Primary Care & Wellness, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EASTERN SHORE PRIMARY CARE & WELLNESS, LLC

Practice address

1505 S Salisbury Blvd
Salisbury, MD 21801-7128

Phone

(410) 936-5500

Fax

(667) 810-6008

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Martin Melson Jr., CRNPNPI 1265978944

Title

Owner

Phone

(410) 936-5500

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Eastern Shore Primary Care Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Shore Primary Care & Wellness, LLC

  • Primary Care Clinic/Center
  • Cambridge, MD
  • NPI 1073496063
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Eastern Shore Primary Care & Wellness, LLC

  • Primary Care Clinic/Center
  • Cambridge, MD
  • NPI 1073496063
  NPPES parent name

Practitioners 1

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

• Martin Melson Jr., CRNP

  • Nurse Practitioner
  • Salisbury, MD
  • NPI 1265978944

  Family

  NPD Authorized official

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1285404699",
    "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",
            "telephone_number": "410-936-5500",
            "fax_number": "667-810-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S SALISBURY BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017128",
            "telephone_number": "410-936-5500",
            "fax_number": "667-810-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE PRIMARY CARE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "MELSON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-936-5500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Shore Medical Center PA
• Eastern Shore Orthopaedics
• Eastern Shore Pediatric Dentistry, LLC
• Eastern Shore Pediatrics
• Eastern Shore Pharmacy Inc
• Eastern Shore Psychological Service
• Eastern Shore Psychological Service
• Eastern Shore Psychological Services, LLC
• Eastside Medical Care
• Easy Life Coaching

• Family Nurse Practitioner in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.

Verify at the official NPI Registry.