Peninsula Health LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C1-0005379 Issued in DE

Legal business name

PENINSULA HEALTH LLC

Practice address

26744 John J. Williams Hwy
Suite #7
Millsboro, DE 19966

Phone

(302) 945-0440

Fax

(302) 945-0442

NPI assigned

Sep 30, 2008

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terri L Hastings

Title

Office Manager

Phone

(302) 945-0440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Fadi E Damouni, MD

  • Internal Medicine Physician
  • Millsboro, DE
  • NPI 1245295260
  Medicare reassignment Care Compare group NPD
• Mica Rae Goehner, FNP

  • Family Nurse Practitioner
  • Dagsboro, DE
  • NPI 1538744230
  Medicare reassignment Care Compare group NPD
• Sabina Bonfadini, PMH-NP

  • Family Nurse Practitioner
  • Millsboro, DE
  • NPI 1598148231
  Medicare reassignment NPD
• Kathleen C Hudson, FNP

  • Nurse Practitioner
  • Millville, DE
  • NPI 1881118420
  Medicare reassignment NPD
• Martha J Lins, APN, FNP

  • Family Nurse Practitioner
  • Millsboro, DE
  • NPI 1033396312
  Medicare reassignment NPD
• Ivy Elizabeth Thompson, FNP-BC

  • Nurse Practitioner
  • Milford, DE
  • NPI 1164079828
  Medicare reassignment NPD
• Cassandra A Brosnahan, APRN, CNP

  • Nurse Practitioner
  • Salisbury, MD
  • NPI 1184161416

  DE

  Medicare reassignment NPD
• Leeann Hill, NP

  • Family Nurse Practitioner
  • Midlothian, VA
  • NPI 1386029825

  DE

  Medicare reassignment NPD

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1316198062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREYSTONE DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199589450",
            "telephone_number": "302-361-6663",
            "fax_number": "302-258-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26744 JOHN J. WILLIAMS HWY",
            "address_2": "SUITE #7",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-945-0440",
            "fax_number": "302-945-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-945-0440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0005379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyankkumar Patel
• Taylor Payne
• Worsdell K Pearson, PT
• Bryan Peden
• Peninsula Dental, LLC
• Peninsula Healthcare Services LLC (Renaissance Healthcare)
• Peninsula Orthopaedic Assoc., PA
• Peninsula Plastic Surgery P C
• Peninsula Regional Medical Center
• Peninsula Regional Rehabilitation, LLC (Peninsula/NRH Rehab Network @ Millsboro)

• Internal Medicine Physician in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.