Trauma Surgical Assoc

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

Legal business name

TRAUMA SURGICAL ASSOC

Practice address

6507 Deer Pointe Drive
Salisbury, MD 21804

Phone

(410) 543-9332

Fax

(410) 543-9237

NPI assigned

Aug 29, 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

Tax ID family

Trauma Surgical Assoc2 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.

• Trauma Surgical Assoc

  • Surgical Critical Care Physician
  • Salisbury, MD
  • NPI 1952151516
  NPD tax ID

Practitioners 10

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

• 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

  Surgical Critical Care

  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, Surgical Critical Care

  Medicare reassignment NPD
• Hossain Said Mahmoudian, MD

  • Surgery Physician
  • Salisbury, MD
  • NPI 1720366552
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1295929602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "TRAUMA SURGICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "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": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040551500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Lee Trader, P.T.
• Quyen Tran, PHARMD
• James Andrew Trauger, MD
• Emily Richardson Traum, PA C
• Erich C Traum, DPT
• Trauma Surgical Assoc
• Katherine Travers, LCSW-C
• Marion Frances Travers Jr., ED.D, LCPC, LCADC
• Tiffany L. Travers, LCSW-C
• Ronald Paul Travitz, MD

• Surgical Critical Care Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Surgical Critical Care 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.