Individual provider Active NPI

Eric John Jamrok, DPM

  • Podiatrist
  • Salisbury, MD
National Provider Identifier
1649284381
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01303 Issued in MD
Practice address
1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone
(410) 749-4154
Fax
(410) 860-9583
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01303 MD Primary

Addresses

Primary practice location

1675 Woodbrooke Dr
Salisbury, MD 21804-8502

Mailing address

PO Box 69709
Baltimore, MD 21264-9709
Phone (410) 749-4154

Other identifiers 1

IdentifierTypeStateIssuer
4325810001OtherMDNHIC, CORP.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070516000125 MD Practitioner - Podiatry 0941307540 Reassigns benefits to 2 organizations
I20141202002028 DE Practitioner - Podiatry 0941307540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Peninsula Orthopaedic Assoc PAGroup PAC ID 6406844406, 56 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 749-4154

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

30265 Commerce Dr
Millsboro, DE 19966-3594

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of skin lesions31
Removal of nail tissue189
Removal or shaving of skin growth142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1303MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopaedic Assoc., PA CurrentSince Oct 1, 2014 Accepting new patients
Peninsula Orthopaedic Assoc, PA Podiatrist CurrentSince Oct 1, 2014 Accepting new patients
Peninsula Orthopaedic Assoc PA CurrentSince Oct 1, 2014 Accepting new patients
Salisbury Foot & Ankle Center PA Podiatrist PastSince Mar 12, 2010 Accepting new patients
Polun Family Footcare P C Podiatrist Past Accepting new patients

Locations

30265 Commerce Dr
Unit 104
Millsboro, DE 19966
Phone (302) 629-4787

11 Fallon Ave
Seaford, DE 19973

314 Franklin Ave
Ste 502
Berlin, MD 21811
Phone (410) 641-0202

11107 Cathage Rd
Unit 101
Ocean Pines, MD 21811
Phone (410) 641-0202

1675 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 860-4514

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649284381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WOODBROOKE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218048502",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMROK",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC, CORP.",
            "identifier": "4325810001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.