Individual provider Active NPI

Emily Richardson Traum, PA C

  • Physician Assistant
  • Salisbury, MD
National Provider Identifier
1932405735
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004425 Issued in MD
Practice address
1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone
(410) 749-4154
Fax
(410) 860-9583
NPI assigned
Jan 27, 2011
Last updated
Jan 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004425 MD Primary

Addresses

Primary practice location

1675 Woodbrooke Dr
Salisbury, MD 21804-8502

Mailing address

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

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110526000159 MD Practitioner - Physician Assistant 0244416337 Reassigns benefits to 2 organizations
I20150129001905 DE Practitioner - Physician Assistant 0244416337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Plastic Surgery P CGroup PAC ID 2769469097, 7 clinicians

Practice addresses (Care Compare)

124 N Main St
Suite D
Berlin, MD 21811-1060
Phone (410) 546-0464

314 W Carroll St
Suite 1
Salisbury, MD 21801-5409
Phone (410) 546-0464

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Plastic Surgery, P.C. CurrentSince Aug 20, 2023 Accepting new patients
Peninsula Plastic Surgery P C CurrentSince Aug 20, 2023 Accepting new patients
Peninsula Orthopaedic Assoc, PA Physician Assistant CurrentSince Jan 17, 2011 Accepting new patients
Peninsula Orthopaedic Assoc PA CurrentSince Jan 17, 2011 Accepting new patients

Locations

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

30265 Commerce Dr
Unit 208
Millsboro, DE 19966
Phone (302) 663-0119

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

124 N Main St
Ste D
Berlin, MD 21811
Phone (410) 546-0464

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

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

314 W Carroll St
Ste 1
Salisbury, MD 21801
Phone (410) 546-0464

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1932405735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "TRAUM",
        "first_name": "EMILY",
        "middle_name": "RICHARDSON",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.