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EASTERN SHORE PRIMARY CARE & WELLNESS, LLC
NPI 1073496063
Clinic/Center - Primary Care in Cambridge, MD

Active since July 28, 2025CLIA Certified · 2 labs
204 CEDAR ST STE 101, CAMBRIDGE, MD 21613(410) 936-5500 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastern Shore Primary Care & Wellness, Llc NPPES

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

EASTERN SHORE PRIMARY CARE & WELLNESS, LLC (NPI 1073496063) is a healthcare organization registered as a primary care in Cambridge, Maryland and active in the NPI registry since July 2025. The organization holds 2 active CLIA laboratory certificates and lists Martin Melson, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1073496063
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEASTERN SHORE PRIMARY CARE & WELLNESS, LLC
Location Address204 CEDAR ST STE 101Cambridge, MD 21613-2395
Mailing Address1505 S Salisbury BlvdSalisbury, MD 21801-7128
Phone(410) 936-5500
Organization SubpartYes
Authorized OfficialMartin MelsonOwner/president · (410) 936-5500
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1073496063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
204 CEDAR ST STE 101, Cambridge, MD 21613
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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 2

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 21D2295462

Eastern Shore Primary Care & Wellness · Salisbury, MD
Active · expires Dec 11, 2027
CLIA Number21D2295462
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorMartin A. Melson Jr
Laboratory Phone(410) 936-5500
Laboratory LocationEastern Shore Primary Care & Wellness1505 S Salisbury Blvd, 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.

Certificate of Waiver 21D2326284

Eastern Shore Primary Care & Wellness · Cambridge, MD
Active · expires Jun 30, 2027
CLIA Number21D2326284
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorMartin Melson Jr
Laboratory Phone(410) 936-5500
Laboratory LocationEastern Shore Primary Care & Wellness204 Cedar Street Ste 101, Cambridge, MD 21613
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 3

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

RACHEL EMILY WRIGHT DNP, FNP-C
Nurse Practitioner (Family)
204 CEDAR ST STE 101
CAMBRIDGE, MD 21613
Dorchester County (410) 936-5500
MS. MEGAN MARIE CZYZ CRNP
Nurse Practitioner (Family)
204 CEDAR ST STE 101
CAMBRIDGE, MD 21613
Dorchester County (410) 936-5500
PRIVIA MEDICAL GROUP, LLC
Family Medicine
204 CEDAR ST STE 101
CAMBRIDGE, MD 21613
Dorchester County (410) 936-5500

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 Primary Care & Wellness, LLC's NPI number?

The NPI number for Eastern Shore Primary Care & Wellness, LLC is 1073496063. It was assigned to this organization in the NPPES registry on July 28, 2025.

Where is Eastern Shore Primary Care & Wellness, LLC located?

Eastern Shore Primary Care & Wellness, LLC is located at 204 Cedar St Ste 101, Cambridge, MD 21613. The listed phone number is (410) 936-5500.

What is Eastern Shore Primary Care & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Eastern Shore Primary Care & Wellness, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Eastern Shore Primary Care & Wellness, LLC was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.