EASTERN SHORE PEDIATRICS
NPI 1063713295
Pediatrics in Salisbury, MD

Q: What is Eastern Shore Pediatrics's NPI number?

The NPI number for Eastern Shore Pediatrics is 1063713295. It was assigned to this organization in the NPPES registry on November 4, 2010.

Q: What is Eastern Shore Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 04, 2010CLIA 21D2013640 · Waiver

211 MARYLAND AVE, SALISBURY, MD 21801(410) 219-9111(410) 219-2633 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eastern Shore Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN SHORE PEDIATRICS (NPI 1063713295) is a healthcare organization registered as a pediatrics in Salisbury, Maryland and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Ephrem Daniel, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1063713295

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameEASTERN SHORE PEDIATRICS

Location Address211 MARYLAND AVESalisbury, MD 21801-5805

Mailing Address211 Maryland AveSalisbury, MD 21801-5805 · (410) 219-9111 · Fax (410) 219-2633

Phone(410) 219-9111

Fax(410) 219-2633

Organization SubpartNo

Authorized OfficialEphrem DanielOwner/president · (410) 219-9111

Enumeration DateNovember 4, 2010

Last NPPES UpdateNovember 25, 2014

✔ NPI 1063713295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D50140

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

211 MARYLAND AVE, Salisbury, MD 21801

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Other Identifiers 2

Medicaid055501100MD

Medicaid559204600MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2013640

Eastern Shore Pediatrics, LLC · Salisbury, MD

Active · expires Sep 22, 2026

CLIA Number21D2013640

Laboratory TypePhysician Office

Certificate Effective DateSeptember 23, 2024

Certificate Expiration DateSeptember 22, 2026

Laboratory DirectorDr. Ephrem Daniel

Laboratory Phone(410) 219-9111

Laboratory LocationEastern Shore Pediatrics, LLC211 Maryland Avenue, Salisbury, MD 21801

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANE MARIE DEVINE CRNP

Nurse Practitioner (Pediatrics)

211 MARYLAND AVE
SALISBURY, MD 21801

Wicomico County (410) 219-9111

EPHREM DANIEL M.D.

Pediatrics

211 MARYLAND AVE
SALISBURY, MD 21801

Wicomico County (410) 219-9111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Shore Pediatrics's NPI number?

The NPI number for Eastern Shore Pediatrics is 1063713295. It was assigned to this organization in the NPPES registry on November 4, 2010.

Where is Eastern Shore Pediatrics located?

Eastern Shore Pediatrics is located at 211 Maryland Ave, Salisbury, MD 21801. The listed phone number is (410) 219-9111.

What is Eastern Shore Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Eastern Shore Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2013640) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Shore Pediatrics was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.