HEALTHSTAT ONSITE CLINC AMSTED BAC MILFORD (NPI# 1194178707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194178707 |
Entity Type | Organization |
Organization Name | HEALTHSTAT ONSITE CLINC AMSTED BAC MILFORD |
Practice Address |
1162 Holly Hill Rd Milford DE 19963-6339 |
Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
Practice Telephone | 7049365546 |
Mailing Telephone | 7045296161 |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-07-19 |
Authorized Official Name | WARREN HUTTON (COO) |
Authorized Official Telephone | 7045296161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1162 HOLLY HILL RD |
City | MILFORD |
State | DE |
Zip Code | 19963-6339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306996319 | Janine Elizabeth Martin | Nurse Practitioner | 1162 Holly Hill Rd, Milford, DE 19963-6339 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306302336 | Auto Accident Pain & Rehab, LLC | Chiropractor | 907 N. Dupent Hwy, Suite 103, Milford, DE 19963 | 2019-02-14 |
1316402530 | Kelsey Ann Queen | Behavioral Analyst | 1010-1012 Mattlind Way, Milford, DE 19963 | 2019-02-01 |
1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
1346779774 | Leo Fernandez | Physical Therapist | 300 Hall Place, Milford, DE 19963 | 2017-06-08 |
1932642824 | Taryn Guyer | Occupational Therapy Assistant | 17123 Brittany Place, Milford, DE 19963 | 2016-11-23 |
1073985602 | Darren Wayne Camper | Physical Therapy Assistant | 800 Airport Road Suite 102, Milford, DE 19963 | 2015-10-22 |
1316327091 | Chayil Healthcare LLC | Home Health | 686 Norht Dupont Hwy, Pmb#155, Milford, DE 19963 | 2015-06-08 |
1750717773 | Katie Roney | Behavioral Analyst | 1010 Mattlind Way, Milford, DE 19963 | 2013-09-23 |
1083961460 | Halleh Asadpour | Dentist | 215 W Liberty Way, Milford, DE 19963 | 2012-08-06 |
1225318033 | Betsy Campana | Pharmacist | 21 S. Clarke Ave, Milford, DE 19963 | 2011-08-24 |
Find all providers in zip 19963 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992903371 | Gary Richard Kerstein | Preventive Medicine | 1800 Hickory Valley Rd, Milford, MI 48380-4276 | 2007-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063544492 | Carole N. Tinklepaugh | Preventive Medicine | 801 Boxwood Road, Wilmington, DE 19804-2041 | 2007-03-12 |
1821614785 | Healogics Specialty Physicians of Delaware, LLC | Preventive Medicine | 801 Middleford Rd, Seaford, DE 19973-3636 | 2020-06-17 |
1508286485 | Ikechi Konkwo | Preventive Medicine | 1275 S State St, Dover, DE 19901-6927 | 2014-04-18 |
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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.