Active NPI
Trauma Surgical Assoc
- Surgical Critical Care Physician
- Salisbury, MD
National Provider Identifier
1295929602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- 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
- Last updated
- Mar 26, 2024
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | Primary |
Addresses
Primary practice location
6507 Deer Pointe Drive
Salisbury, MD 21804
Mailing address
6507 Deer Pointe Drive
Salisbury, MD 21804
Phone (410) 543-9332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Trauma Surgical Assoc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgical Critical Care Physician
- Salisbury, MD
- NPI 1952151516
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Salisbury, MD
- NPI 1326057316
-
- Surgery Physician
- Salisbury, MD
- NPI 1912106279
-
- Surgery Physician
- Salisbury, MD
- NPI 1396925608
-
- Surgery Physician
- Salisbury, MD
- NPI 1518990944
-
- Surgery Physician
- Salisbury, MD
- NPI 1164455580
-
- Surgery Physician
- Salisbury, MD
- NPI 1184647414
-
- Surgery Physician
- Salisbury, MD
- NPI 1992721948
-
- Trauma Surgery Physician
- Carbondale, IL
- NPI 1578720629
MD, Surgical Critical Care
-
- Surgery Physician
- Salisbury, MD
- NPI 1720366552
NPI Registry JSON
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": [],
"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 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.