NPIMap

Organization Active NPI

Peninsula Regional Medical Center

  • Emergency Medicine Physician
  • Salisbury, MD
National Provider Identifier
1376785998
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PENINSULA REGIONAL MEDICAL CENTER
Practice address
1655 Woodbrooke Dr Ste 104
Salisbury, MD 21804-8502
Phone
(410) 548-2700
Fax
(410) 548-2608
NPI assigned
Mar 27, 2009
Last updated
May 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Donna E Horner
Title
Credentialing Coordinator
Phone
(410) 543-7531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

1655 Woodbrooke Dr Ste 104
Salisbury, MD 21804-8502

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-7252

Other names 1

  • Peninsula Regional Occupational Health/Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
PRMC Family Internal33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1376785998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7252",
            "fax_number": "410-912-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 WOODBROOKE DR STE 104",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218048502",
            "telephone_number": "410-548-2700",
            "fax_number": "410-548-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "410-543-7531"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Regional Occupational Health/Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.