BRIAN T NAM (NPI# 1275509937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275509937 |
| Entity Type | Individual |
| Full Name | BRIAN T NAM |
| Credential | MD |
| Practice Address |
4701 Ogletown Stanton Road Suite 2100 Newark DE 19713 |
| Mailing Address |
Po Box 30170 Wilmington DE 19805-7170 |
| Practice Telephone | 3026234530 |
| Practice Fax Number | 3026234578 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2012-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 54904-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | C1-0010222 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
4701 OGLETOWN STANTON ROAD SUITE 2100 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629517990 | Shannon Virtue | Psychologist | 4701 Ogletown Stanton Road, Suite 2200, Helen F. Graham Cancer Center, Newark, DE 19713-7000 | 2017-02-19 |
| 1720538630 | Hollie C. Rudolph | Physician Assistant | 4701 Ogletown Stanton Road, Suite 2100, Newark, DE 19713-7000 | 2016-10-04 |
| 1942618962 | Lydia I. Clements | Internal Medicine | 4701 Ogletown Stanton Road, Suite 3400, Newark, DE 19713-2055 | 2014-07-23 |
| 1982954897 | Patricia A Miller | Physician Assistant | 4701 Ogletown Stanton Road, Suite 2100, Newark, DE 19713-7000 | 2012-09-18 |
| 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 |
| 1851319230 | Sara E. Midwood | Nurse Practitioner | 4701 Ogletown Stanton Road, Suite 2335, Newark, DE 19713-7016 | 2006-07-17 |
| 1447202122 | Jenny H Petkova | Internal Medicine | 4701 Ogletown Stanton Road, Suite 4200, Newark, DE 19713-2072 | 2006-05-17 |
| 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 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on BRIAN T NAM.
| 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.