PENINSULA SURGICAL GROUP, P.A. – NPI #1962484428
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

PENINSULA SURGICAL GROUP, P.A. is a surgeon located in SALISBURY, MD. NPPES has assigned the NPI number 1962484428 to PENINSULA SURGICAL GROUP, P.A. on November 18, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 14 years ago on Dec 09, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENINSULA SURGICAL GROUP, P.A. below.

NPI Profile for
PENINSULA SURGICAL GROUP, P.A.

NPI Number
1962484428
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENINSULA SURGICAL GROUP, P.A.
Primary location
145 E CARROLL ST
SALISBURY, MD 21801-5454
Phone: (410) 548-2600 Fax: (410) 548-2607
Mailing address
PO BOX 3317
SALISBURY, MD 21802-3317
Phone: (410) 548-2600 Fax: (410) 548-2607
Organization Subpart
No
Authorized Official
JOHN BARTKOVICH
OWNER
Phone: (410) 548-2600
Updated
Identifiers

Identifiers for PENINSULA SURGICAL GROUP, P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD978541800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.