NPIMap

Organization Active NPI

Comptroller of Maryland Central Payroll Bureau

Doing business as Deer 's Head Physician Office/Clinic

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
National Provider Identifier
1306178470
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Doing business as
Deer 's Head Physician Office/Clinic
Practice address
351 Deers Head Hospital Rd
Salisbury, MD 21801-3201
Phone
(410) 543-4000
NPI assigned
Feb 1, 2010
Last updated
Feb 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Sandra K Smith
Title
Ceo
Phone
(410) 543-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

351 Deers Head Hospital Rd
Salisbury, MD 21801-3201

Mailing address

351 Deers Head Hospital Rd
Salisbury, MD 21801-3201
Phone (410) 543-4000

Other names 1

  • Deer 's Head Physician Office/Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000210 MD Part B Supplier - Clinic/Group Practice 7416859327 Receives reassigned benefits from 96 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cumberland, MD; Sykesville, MD; Salisbury, MD; Hagerstown, MD; Catonsville, MD; Cambridge, MD

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1306178470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 DEERS HEAD HOSPITAL RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013201",
            "telephone_number": "410-543-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DEERS HEAD HOSPITAL RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013201",
            "telephone_number": "410-543-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-543-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer 's Head Physician Office/Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 1, 2010; 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.