Peninsula Urology Associates, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PENINSULA UROLOGY ASSOCIATES, PA

Practice address

1342 S Division St Unit 401
Salisbury, MD 21804-6921

Phone

(410) 546-2133

Fax

(410) 548-3361

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Mike Synowiec

Title

Adminstrator

Phone

(410) 546-2133

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia M Grady, CRNP

  • Family Nurse Practitioner
  • Harrington, DE
  • NPI 1154321230
  NPD

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760904379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 S DIVISION ST UNIT 401",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046921",
            "telephone_number": "410-546-2133",
            "fax_number": "410-548-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 S DIVISION ST UNIT 401",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046921",
            "telephone_number": "410-546-2133",
            "fax_number": "410-548-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA UROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SYNOWIEC",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "410-546-2133"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Regional/Genesis Eldercare LLC
• Peninsula Surgical Group, P.a.
• Peninsula Surgical Group, P.a.
• Peninsula Surgical Group, PA
• Peninsula Urology Associates PA
• Peninsula-NRH Regional Rehabilitation
• Perdue Foods LLC
• Christine Tanner Perdue, R.N., M.S.N.,C.P.N.P
• Erin T Perdue, CRNP
• Georgia Lynne Perdue, DNP, CRNP-F

• Urology Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Urology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.