CHRISTIANA CARE HEALTH SERVICES, INC (NPI# 1154306512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154306512 |
| Entity Type | Organization |
| Organization Name | CHRISTIANA CARE HEALTH SERVICES, INC |
| Other Organization Name | CCHS THORACIC SURGERY |
| Practice Address |
4701 Ogletown Stanton Rd Suite 1204 Newark DE 19713-2055 |
| Mailing Address |
Po Box 30170 Wilmington DE 19805-7170 |
| Practice Telephone | 3026234530 |
| Mailing Telephone | 3026237019 |
| Mailing Fax Number | 3026237009 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | RICHARD ELLIS (SR. VP FINANCE/MANAGED CARE, CFO) |
| Authorized Official Telephone | 3026237203 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIANA CARE HEALTH SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1154306512 | 05 |
| Other Name | Type Code |
|---|---|
| CCHS Thoracic Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003850504 | Christiana Care Health Services, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hygeia Dr Ste 1360, Newark, DE 19713-2049 | 2006-06-15 |
| 1174508527 | Christiana Care Health Services, Inc | Pediatrics | 4735 Ogletown Stanton Rd Ste 1116, Newark, DE 19713-2089 | 2005-12-08 |
| 1134104565 | Christiana Care Health Services, Inc | Family Medicine | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2005-12-08 |
| 1376528729 | Christiana Care Health Services, Inc | Physician Assistant | 4755 Ogletown Stanton Rd Ste 1900, Newark, DE 19718-0001 | 2005-12-08 |
| 1952385122 | Christiana Care Health Services, Inc | Dentist | 501 W. 14th Street, Wilmington Hospital, Wilmington, DE 19899 | 2005-12-01 |
| 1306820725 | Christiana Care Health Services, Inc | Nurse Practitioner | Wilmington Hospital, 501 W. 14th Street, 2nd Floor, Wilmington, DE 19899 | 2005-11-30 |
| 1245674993 | Christiana Care Health Services, Inc | Electrodiagnostic Medicine | 4755 Ogletown Stanton Rd, Christiana Hospital, Newark, DE 19718-2200 | 2013-04-24 |
| 1417022880 | Christiana Care Health Services, Inc | Physical Medicine & Rehabilitation | 501 W 14th St, Wilmington Hospital - Center for Rehabilitation, Wilmington, DE 19801-1013 | 2006-11-21 |
| 1982778270 | Christiana Care Health Services, Inc | Optometrist | 200 Hygeia Dr, Heatlh Care Center At Christiana, Newark, DE 19713-2049 | 2006-11-20 |
| 1275615643 | Christiana Care Health Services, Inc | Surgery | 4755 Ogletown Stanton Rd, Suite 1e50, Newark, DE 19718-0001 | 2006-10-19 |
| Street Address |
4701 OGLETOWN STANTON RD SUITE 1204 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265432 | Natalie C Knitowski | Physician Assistant | 4701 Ogletown Stanton Rd, Suite 1500, Newark, DE 19718-2200 | 2005-06-16 |
| 1912449554 | Tiffany D Whary | Dietitian, Registered | 4701 Ogletown Stanton Rd, Helen F. Graham Cancer Center, Suite 2200, Newark, DE 19713-2055 | 2016-11-14 |
| 1194172445 | Simply You, Inc. | Durable Medical Equipment & Medical Supplies | 4701 Ogletown Stanton Rd, Room 1203, Newark, DE 19713-2055 | 2016-05-17 |
| 1689038580 | Janet Teixeira | Social Worker | 4701 Ogletown Stanton Rd, Helen F Graham Cancer Center, Suite 2200, Newark, DE 19713-2055 | 2016-04-07 |
| 1205201530 | Jennifer Campoli | Registered Nurse | 4701 Ogletown Stanton Rd, Suite 3400, Newark, DE 19713-2055 | 2015-12-11 |
| 1548632110 | Jessica Joel Smallwood | Clinical Nurse Specialist | 4701 Ogletown Stanton Rd, Suite 2400, Newark, DE 19713-2055 | 2015-10-22 |
| 1801263330 | Audrey Elizabeth Squire | Genetic Counselor, MS | 4701 Ogletown Stanton Rd, Suite 2200, Newark, DE 19713-2055 | 2015-09-01 |
| 1306225560 | Viriginia L Vining | Dietitian, Registered | 4701 Ogletown Stanton Rd, Suite 2200, Newark, DE 19713-2055 | 2015-05-21 |
| 1780079939 | Nicholas Colin Petersen | Student in an Organized Health Care Education/Training Program | 4701 Ogletown Stanton Rd, Newark, DE 19713-2055 | 2015-04-04 |
| 1366851206 | Danielle B Mckenna | Genetic Counselor, MS | 4701 Ogletown Stanton Rd, Suite 2200, Newark, DE 19713-2055 | 2014-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003850504 | Christiana Care Health Services, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hygeia Dr Ste 1360, Newark, DE 19713-2049 | 2006-06-15 |
| 1720268584 | Constantinos J Lovoulos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 150 Bergen St, Uh F-102, Newark, NJ 07103-2496 | 2007-11-09 |
| 1255465571 | Charles R Mulligan Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4701 Ogletown Stanton Road, Helen F. Graham Cancer Center, Suite 2100, Newark, DE 19713 | 2007-03-16 |
| 1063568665 | Sunil Prakash Malhotra | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Lyons Ave, Suite L5, Newark, NJ 07112-2027 | 2007-01-26 |
| 1760566855 | Chandra Shekhar R Beesam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4735 Ogletown Stanton Rd, Map 2, Suite 1201& 1205, Newark, DE 19713-2072 | 2006-10-25 |
| 1811085152 | Hisham M.f. Sherif | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4755 Ogletown Stanton Rd, Suite 1e50, Newark, DE 19805-7170 | 2006-10-11 |
| 1487742706 | David J Polidori | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4735 Ogletown Stanton Rd, Map 2, Suite 1201& 1205, Newark, DE 19713-2072 | 2006-10-11 |
| 1326139353 | Katrhleen Winifred Mcnicholas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4755 Ogletown Stanton Rd, 1e50, Newark, DE 19718-0002 | 2006-09-27 |
| 1033200084 | Ray A Blackwell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4755 Ogletown Stanton Rd, Suite 1e50, Newark, DE 19718-0002 | 2006-09-27 |
| 1891723581 | Michael K Banbury | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4755 Ogletown Stanton Rd, Suite 1e50, Newark, DE 19718 | 2006-06-29 |
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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.