Peninsula Regional Medical Center
Organization Active NPI Hematology & Oncology Physician · Salisbury, MD
NPI 1508000746 · NPPES record last updated May 1, 2009
Key facts
- NPI
- 1508000746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- PENINSULA REGIONAL MEDICAL CENTER
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5422 - Phone
- (410) 749-1282
- Fax
- (410) 749-7821
- NPI assigned
- Apr 30, 2009
- Organization subpart
- No
Authorized official
- Name
- Thomas Spahr
- Title
- Coo
- Phone
- (410) 543-7252
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 32
Practitioners 4
-
Henry Harrison Bell Jr., M.D.
-
Matthew Masaji Kirkbride, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081031000296 | MD | Part B Supplier - Clinic/Group Practice | 3870669419 |
Receives reassigned benefits from 42 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbia, MD; Frederick, MD; Ijamsville, MD; Salisbury, MD |
National Provider Directory
- Tax ID family
- Peninsula Regional Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
100 E Carroll St
Salisbury, MD 21801-5422
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-7531
Other names
- Peninsula Regional Oncology & Hematology
Other providers in Salisbury, MD
- Peninsula Pulmonary Assoc PA
- Peninsula Regional Medical Center
- Peninsula Regional Medical Center
- Peninsula Regional Medical Center
- Peninsula Regional Medical Center
- Peninsula Regional Medical Center
- Peninsula Regional Medical Center
- Peninsula Regional Medical Center
- Peninsula Regional Medical Center
- Peninsula Regional Rehabilitation, LLC
All providers in Salisbury, MD · Hematology & Oncology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.