DR. KATRHLEEN WINIFRED MCNICHOLAS (NPI# 1326139353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326139353 |
| Entity Type | Individual |
| Full Name | DR. KATRHLEEN WINIFRED MCNICHOLAS |
| Credential | M.D. |
| Practice Address |
4755 Ogletown Stanton Rd 1e50 Newark DE 19718-0002 |
| Mailing Address |
Po Box 30170 Wilmington DE 19805-7170 |
| Practice Telephone | 3027331980 |
| Practice Fax Number | 3027331986 |
| Mailing Telephone | 3026237150 |
| Mailing Fax Number | 3026237374 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | C10005602 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000090001 | 05 |
| Street Address |
4755 OGLETOWN STANTON RD 1E50 |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223850 | Erik S Marshall | Internal Medicine | 4755 Ogletown Stanton Rd, Christiana Hospital Suite 1e30, Newark, DE 19718-2200 | 2005-05-27 |
| 1073114740 | Helen Mutoko | Registered Nurse | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-11-08 |
| 1245839786 | Julie Pifer | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-24 |
| 1447859681 | Emily Gorrin | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-20 |
| 1033717657 | Amy Aucott | Respiratory Therapist, Registered | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-15 |
| 1235736083 | Morgan Hudson | Occupational Therapist | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-05 |
| 1306453766 | Justin Michael Pipoli | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-29 |
| 1033725346 | Kacee Jo Verhovec | Pharmacist | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-22 |
| 1457966780 | Braden J Schroeder | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-14 |
| 1497367155 | Christina Hoddinott | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
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| 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 |
| 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 |
| 1790739993 | Cathedral Cardiac Specialists, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Central Ave, 3rd Floor, Newark, NJ 07102-1909 | 2006-05-20 |
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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.