1184832040 TIDALHEALTH PENINSULA REGIONAL, INC.
Family Medicine Physician
Active
Basic Information
- Organization Name
- TIDALHEALTH PENINSULA REGIONAL, INC.
- Enumeration Date
- May 21, 2007
- Last Update
- February 28, 2023
- Authorized Official
- STEPHANIE GARY
CFO
Phone: (410) 912-6059
Practice Location
- Address
- 100 E CARROLL ST
PENINSULA REGIONAL MEDICAL GROUP
SALISBURY, MD 218015422 - Phone
- (410) 543-7252
- Fax
- (410) 912-6386
Mailing Address
- Address
- 100 E CARROLL ST
PENINSULA REGIONAL MEDICAL GROUP
SALISBURY, MD 218015422 - Phone
- (410) 543-7252
- Fax
- (410) 912-6386
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Emergency Medicine | N/A | N/A | No |
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | 207RE0101X | Internal Medicine | N/A | N/A | No |
| Gastroenterology Physician Gastroenterology | 207RG0100X | Internal Medicine | N/A | N/A | No |
| Hematology & Oncology Physician Hematology & Oncology | 207RH0003X | Internal Medicine | N/A | N/A | No |
| Pulmonary Disease Physician Pulmonary Disease | 207RP1001X | Internal Medicine | N/A | N/A | No |
| Neurological Surgery Physician | 207T00000X | Neurological Surgery | N/A | N/A | No |
| Pediatrics Physician | 208000000X | Pediatrics | N/A | N/A | No |
| General Practice Physician | 208D00000X | General Practice | N/A | N/A | No |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | N/A | N/A | No |
| Adult Mental Health Clinic/Center Adult Mental Health | 261QM0850X | Clinic/Center | N/A | N/A | No |
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Physician Assistant | 363A00000X | Physician Assistant | N/A | N/A | No |
| Family Nurse Practitioner Family | 363LF0000X | Nurse Practitioner | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC4271 | 01 | MD | MEDICARE RRB |
| CA8333 | 01 | MD | MEDICARE RRB |
| 0000241502 | 05 | DE | N/A |
| C10607 | 01 | VA | MEDICARE PTAN |
| K230 | 01 | MD | MEDICARE NSC |
| K230 | 01 | MD | MEDICARE PTAN |
| 401428600 | 05 | MD | N/A |
| CA8334 | 01 | DE | MEDICARE RRB |
| G01753 | 01 | DE | MEDICARE NSC |
| 525701800 | 05 | MD | N/A |
| C10607 | 01 | VA | MEDICARE NSC |
| CC3716 | 01 | MD | MEDICARE RRB |
| G01753 | 01 | DE | MEDICARE PTAN |
Frequently Asked Questions
What is TIDALHEALTH PENINSULA REGIONAL, INC.'s NPI number?
TIDALHEALTH PENINSULA REGIONAL, INC.'s NPI number is 1184832040.
Which doctor has NPI number 1184832040?
The doctor with NPI number 1184832040 is TIDALHEALTH PENINSULA REGIONAL, INC..
What is TIDALHEALTH PENINSULA REGIONAL, INC.'s practice address?
TIDALHEALTH PENINSULA REGIONAL, INC.'s practice address is 100 E CARROLL ST, PENINSULA REGIONAL MEDICAL GROUP, SALISBURY, MD, 218015422.
Which doctor practices at 100 E CARROLL ST, PENINSULA REGIONAL MEDICAL GROUP, SALISBURY, MD, 218015422?
TIDALHEALTH PENINSULA REGIONAL, INC. practices at 100 E CARROLL ST, PENINSULA REGIONAL MEDICAL GROUP, SALISBURY, MD, 218015422.
What is TIDALHEALTH PENINSULA REGIONAL, INC.'s phone number?
TIDALHEALTH PENINSULA REGIONAL, INC.'s phone number is (410) 543-7252.
Who is (410) 543-7252?
(410) 543-7252 is the phone number for TIDALHEALTH PENINSULA REGIONAL, INC..
What is TIDALHEALTH PENINSULA REGIONAL, INC.'s specialty?
TIDALHEALTH PENINSULA REGIONAL, INC.'s specialty is Family Medicine Physician.
What type of doctor is TIDALHEALTH PENINSULA REGIONAL, INC.?
TIDALHEALTH PENINSULA REGIONAL, INC. is a Family Medicine Physician.
Is TIDALHEALTH PENINSULA REGIONAL, INC. a Family Medicine?
Yes, TIDALHEALTH PENINSULA REGIONAL, INC. is a Family Medicine.
Is TIDALHEALTH PENINSULA REGIONAL, INC. still practicing?
Yes, TIDALHEALTH PENINSULA REGIONAL, INC. is currently practicing.
Is TIDALHEALTH PENINSULA REGIONAL, INC. accepting new patients?
TIDALHEALTH PENINSULA REGIONAL, INC. may be accepting new patients. Please call their office at (410) 543-7252 to inquire about availability.
Is NPI 1184832040 still active?
Yes, NPI 1184832040 is currently active.
Where does TIDALHEALTH PENINSULA REGIONAL, INC. practice?
TIDALHEALTH PENINSULA REGIONAL, INC. practices in SALISBURY, MD.