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PENINSULA SURGICAL GROUP, PA
NPI 1780011312
Nurse Practitioner - Family in Salisbury, MD

Active since September 27, 2013
145 E CARROLL ST, SALISBURY, MD 21801(410) 548-2600 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peninsula Surgical Group, Pa NPPES

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

PENINSULA SURGICAL GROUP, PA (NPI 1780011312) is a healthcare organization registered as a family in Salisbury, Maryland and active in the NPI registry since September 2013. The organization lists John A Bartkovich, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1780011312
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePENINSULA SURGICAL GROUP, PA
Location Address145 E CARROLL STSalisbury, MD 21801-5454
Mailing Address804 Snow Hill RdSalisbury, MD 21804-1938 · (410) 548-2600
Phone(410) 548-2600
Organization SubpartNo
Authorized OfficialJohn A BartkovichSecretary/treasurer · (410) 548-2600
Enumeration DateSeptember 27, 2013
✔ NPI 1780011312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R180523
145 E CARROLL ST, Salisbury, MD 21801
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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

Other Providers at the Same Location NPPES 20

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

ABDULLAH AYAZ GHUMAN MD
Student in an Organized Health Care Education/Training Program
145 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7106
DR. RAMESH K AGARWAL MD
Internal Medicine (Cardiovascular Disease)
145 E CARROLL ST, UNIT 103
SALISBURY, MD 21801
Wicomico County (410) 749-4999
DR. CHARLES PHILIP BRENNER D.D.S.
Dentist (Pediatric Dentistry)
145 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 749-0133
RAMESH K. AGARWAL, M.D., P.A.
Specialist
145 E CARROLL ST, UNIT 103
SALISBURY, MD 21801
Wicomico County (410) 749-4999
TIDALHEALTH PENINSULA REGIONAL, INC.
Clinic/Center (Infusion Therapy)
145 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
MR. ARIFUL ALAM MD
Student in an Organized Health Care Education/Training Program
145 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
JOHN P REILLY M.D.
Surgery
145 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 548-2600
PENINSULA ONCOLOGY AND HEMATOLOGY
Specialist
145 E CARROLL ST, SUITE A-1
SALISBURY, MD 21801
Wicomico County (410) 749-1282

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 Peninsula Surgical Group, PA's NPI number?

The NPI number for Peninsula Surgical Group, PA is 1780011312. It was assigned to this organization in the NPPES registry on September 27, 2013.

Where is Peninsula Surgical Group, PA located?

Peninsula Surgical Group, PA is located at 145 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 548-2600.

What is Peninsula Surgical Group, PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Peninsula Surgical Group, PA was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.