NPIMap

Organization Active NPI

Peninsula Dermatology Associates,P.a.

  • Specialist
  • Salisbury, MD
National Provider Identifier
1437184041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PENINSULA DERMATOLOGY ASSOCIATES,P.A.
Practice address
106 Milford St Ste 301
Salisbury, MD 21804-6962
Phone
(410) 546-4431
NPI assigned
Jul 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Howard C. Hines, M.D.NPI 1285685412
Title
President
Phone
(410) 546-4431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

106 Milford St Ste 301
Salisbury, MD 21804-6962

Mailing address

106 Milford St Ste 301
Salisbury, MD 21804-6962
Phone (410) 546-4431

National Provider Directory

National Provider Directory

Locations

106 Milford St
Ste 301
Salisbury, MD 21804
Phone (410) 546-4431

Practitioners & affiliated clinicians

Practitioners 9

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437184041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 301",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046962",
            "telephone_number": "410-546-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 301",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046962",
            "telephone_number": "410-546-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA DERMATOLOGY ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-546-4431",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "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 Aug 22, 2020; 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.