Healthcare Provider Details

I. General information

NPI: 1528272192
Provider Name (Legal Business Name): PENINSULA REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CARROLL ST PATIENT ACCOUNTS
SALISBURY MD
21801-5422
US

IV. Provider business mailing address

100 E CARROLL ST PATIENT ACCOUNTS
SALISBURY MD
21801-5422
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-7437
  • Fax: 410-543-7020
Mailing address:
  • Phone: 410-543-7437
  • Fax: 410-543-7020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JEFF KARNS
Title or Position: DIRECTOR, PATIENT FINANCIAL SERVICE
Credential: CPAM
Phone: 410-543-7437