NPIMap

Organization Active NPI

Atlantic Retina Center, P.a.

  • Ophthalmology Physician
  • Salisbury, MD
National Provider Identifier
1952355489
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0045260 Issued in MD
Legal business name
ATLANTIC RETINA CENTER, P.A.
Practice address
31455 Winterplace Pkwy
Salisbury, MD 21804-1891
Phone
(410) 742-4100
Fax
(410) 742-4156
NPI assigned
May 20, 2006
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Joseph Christopher Schwartz, M.D.NPI 1770586752
Title
Owner
Phone
(410) 742-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0045260 MD Primary

Addresses

Primary practice location

31455 Winterplace Pkwy
Salisbury, MD 21804-1891

Mailing address

31455 Winterplace Pkwy
Salisbury, MD 21804-1891
Phone (410) 742-4100

Other identifiers 2

IdentifierTypeStateIssuer
1000028558MedicaidDE
405849600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031204000484 MD Part B Supplier - Clinic/Group Practice 3274438023 Receives reassigned benefits from 3 practitioners
Practice locations: Ocean Pines, MD; Salisbury, MD; Easton, MD
O20040317000957 DE Part B Supplier - Clinic/Group Practice 3274438023 Receives reassigned benefits from 3 practitioners
Practice locations: Dover, DE; Milford, DE
O20110608000784 VA Part B Supplier - Clinic/Group Practice 3274438023 Receives reassigned benefits from 1 practitioner
Practice locations: Exmore, VA

National Provider Directory

National Provider Directory

Locations

834 S Governors Ave
Dover, DE 19904
Phone (302) 346-0600

120 Speer Rd
Ste 1
Chestertown, MD 21620
Phone (410) 778-1150

31455 Winterplace Pkwy
Salisbury, MD 21804
Phone (410) 341-4634

Practitioners & affiliated clinicians

Practitioners 6

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1952355489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31455 WINTERPLACE PKWY",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041891",
            "telephone_number": "410-742-4100",
            "fax_number": "410-742-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31455 WINTERPLACE PKWY",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041891",
            "telephone_number": "410-742-4100",
            "fax_number": "410-742-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC RETINA CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-742-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0045260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000028558",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405849600",
            "state": "MD"
        }
    ],
    "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 Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.