CHRISTIANA CARE HEALTH SERVICES INC (NPI# 1003844028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003844028 |
| Entity Type | Organization |
| Organization Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Other Organization Name | CCHS SPORTS MEDICINE |
| Practice Address |
3506 Kennett Pike Wilmington DE 19807-3019 |
| Mailing Address |
Po Box 30170 Wilmington DE 19805-7170 |
| Practice Telephone | 3026613000 |
| Practice Fax Number | 3026613470 |
| Mailing Telephone | 3026237362 |
| Mailing Fax Number | 3026237374 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | RICHARD B ELLIS JR. (VP FINANCE) |
| Authorized Official Telephone | 3026237202 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1003844028 | 05 |
| Other Name | Type Code |
|---|---|
| CCHS Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024394 | Christiana Care Health Services Inc | Clinic/Center | 100 W 18th St, Wilmington, DE 19802-4836 | 2019-07-12 |
| 1922586288 | Christiana Care Health Services Inc | Counselor | 1080 Bunker Hill Rd, Middletown, DE 19709-9026 | 2018-07-30 |
| 1194255604 | Christiana Care Health Services Inc | Internal Medicine | 1011 W Baltimore Pike Ste 307, West Grove, PA 19390-9404 | 2017-06-16 |
| 1306375373 | Christiana Care Health Services Inc | Internal Medicine | 111 W High St Ste 104, Elkton, MD 21921-5549 | 2017-06-05 |
| 1104365790 | Christiana Care Health Services Inc | Counselor | 201 Jackson Ave, Conrad Schools of Science, Wilmington, DE 19804-2125 | 2017-02-16 |
| 1588950422 | Christiana Care Health Services Inc | Counselor | 1400 Foulk Rd, Brandywine High School, Room 102, Wilmington, DE 19803-2728 | 2011-06-20 |
| 1457593949 | Christiana Care Health Services Inc | Psychiatry & Neurology | 200 Hygeia Dr Ste 1420, Newark, DE 19713-2049 | 2009-03-30 |
| 1720128176 | Christiana Care Health Services Inc | Pharmacy | 4755 Ogletown Station Rd, Newark, DE 19718-0001 | 2007-02-07 |
| 1326022476 | Christiana Care Health Services Inc | Internal Medicine | 501 W 14th St Fl 6, Wilmington, DE 19801-1013 | 2005-12-02 |
| 1881228484 | Christiana Care Health Services Inc | Psychiatry & Neurology | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2020-02-24 |
| Street Address |
3506 KENNETT PIKE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19807-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164421731 | Elizabeth L Thomas-bauer, Np | Nurse Practitioner | 3506 Kennett Pike, Suite 301, Wilmington, DE 19807 | 2005-07-18 |
| 1669969549 | Jillian C Sullivan | Community Health Worker | 3506 Kennett Pike, Wilmington, DE 19807-3019 | 2018-04-17 |
| 1932622784 | Cathy A Dargitz | Dietitian, Registered | 3506 Kennett Pike, Wilmington, DE 19807-3019 | 2017-07-24 |
| 1023554870 | Julianna W Yi | Dietitian, Registered | 3506 Kennett Pike, Pmri, Wilmington, DE 19807-3019 | 2017-01-17 |
| 1831569854 | Alyssa R Atanacio | Dietitian, Registered | 3506 Kennett Pike, Pmri, Wilmington, DE 19807-3019 | 2015-10-02 |
| 1659753770 | Scott S Schuster | Dietitian, Registered | 3506 Kennett Pike, Pmri, Wilmington, DE 19807-3019 | 2015-06-25 |
| 1417222787 | Rebecca J Rhine | Nutritionist | 3506 Kennett Pike, Pmri, Wilmington, DE 19807-3019 | 2012-03-20 |
| 1578700472 | Sonia E Palermo | Nurse Practitioner | 3506 Kennett Pike, Wilmington, DE 19807 | 2009-01-14 |
| 1164667200 | Mary T Williams | Dietitian, Registered | 3506 Kennett Pike, Wilmington, DE 19807-3019 | 2008-12-03 |
| 1790951366 | Julie Ann Onisk | Dietitian, Registered | 3506 Kennett Pike, Wilmington, DE 19807-3019 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477846590 | Alex M Raney | Urology | 923 Barley Drive, Wilmington, DE 19807 | 2011-05-23 |
| 1881847580 | Michael D. Lenz | Dentist | 2309 Pennsylvania Ave., Wilmington, DE 19807 | 2008-10-28 |
| 1801934104 | Christine Lynne Eckery | Counselor | 230 Presidential Drive, Suite 003, Wilmington, DE 19807 | 2007-02-01 |
| 1740213024 | Victor M Nippert | Podiatrist | 3801 Kennett Pike, Suite A-102, Wilmington, DE 19807 | 2006-07-09 |
| 1922591320 | Gillespie Plastic & Reconstructive Surgery | Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2018-06-11 |
| 1063805315 | Acts Signature Community Services, Inc. | Internal Medicine | 4830 Kennett Pike, Wilmington, DE 19807 | 2015-03-11 |
| 1790085249 | Mary Brent Whipple | Social Worker | 100 N Dupont Rd, Wilmington, DE 19807 | 2010-11-01 |
| 1790002954 | John William Gillespie IIi | Plastic Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2010-04-28 |
| 1760510598 | William Silver | Social Worker | 5829 Kennett Pike, Centreville, DE 19807 | 2007-03-01 |
| 1356547277 | Adele Patricia Ashley-axon | Family Medicine | 309 Pentland Dr, Wilmington, DE 19807-1046 | 2007-06-26 |
| Find all providers in zip 19807 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962536516 | Richard T. Ferro | Family Medicine | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2007-03-15 |
| 1841295912 | Andrew S Reisman | Family Medicine | 3505 Silverside Rd, Ste 100, Wilmington, DE 19810-4904 | 2005-06-16 |
| 1568697175 | Carolina Healthcare Associates Inc | Family Medicine | 1721 Allens Ln, Ste 100, Wilmington, NC 28403-3661 | 2009-05-27 |
| 1306009394 | Rehab By Dr Lifrak | Family Medicine | 1010 N Union St, Suite 5, Wilmington, DE 19805-2731 | 2008-07-09 |
| 1104943125 | John E. Hocutt, Jr Md | Family Medicine | 3521 Silverside Rd, Suite B, Wilmington, DE 19810-4900 | 2007-03-23 |
| 1184751042 | Bradley James Sandella | Family Medicine | 1401 Foulk Rd, Suite 100, Wilmington, DE 19803-2763 | 2007-02-27 |
| 1386678787 | Tony S Reed | Family Medicine | 1400 N Washington St, Wilmington Annex, Suite 300, Wilmington, DE 19801-1024 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830053 | Caitlin Marie Flatley | Family Medicine | 300 Biddle Ave, Conner Building, Newark, DE 19702 | 2018-05-08 |
| 1154563237 | Joseph J Straight | Family Medicine | 4745 Ogletown Stanton Rd, Suite 225, Newark, DE 19713-2067 | 2009-04-03 |
| 1063547511 | Joseph James Straight | Family Medicine | 4745 Ogletown Stanton Rd, Suite 225, Newark, DE 19713-2067 | 2007-02-23 |
| 1396715959 | Geoffrey Peter Gustavsen | Family Medicine | 282 The Grn, Newark, DE 19716-0009 | 2006-01-25 |
| City | WILMINGTON |
| Zip Code | 19807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.