OrganizationActive
Peninsula Plastic Surgery, P.C.
NPI 1396991675 · Specialist · Georgetown, DE
Provider details
- NPI number
- 1396991675
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jill Taylor, Billing Manager(410) 546-0464
- License
- 1997115585 (DE)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20930 Dupont Blvd
201 Gray Stone Towers
Georgetown, DE 19947-1725
Phone: (410) 546-0464
Fax: (410) 546-8529
Street-level locationGet directions
Mailing address
314 W Carroll St
Salisbury, MD 21801-5409
Registry dates
- Enumerated
- 2008-08-18
- Last updated
- 2013-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.