CHRISTIANA CARE HEALTH SERVICES, INC (NPI# 1407830748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407830748 |
| Entity Type | Organization |
| Organization Name | CHRISTIANA CARE HEALTH SERVICES, INC |
| Other Organization Name | CCHS DIABETES & METABOLIC |
| Practice Address |
3506 Kennett Pike Wilmington DE 19807-3019 |
| Mailing Address |
Po Box 30170 Wilmington DE 19805-7170 |
| Practice Telephone | 3026613070 |
| Practice Fax Number | 3020661308 |
| Mailing Telephone | 3026237019 |
| Mailing Fax Number | 3026237009 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | MR. THOMAS L CORRIGAN (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 |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1407830748 | 05 |
| Other Name | Type Code |
|---|---|
| CCHS Diabetes & Metabolic | 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 |
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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972779221 | Suzanne Sysko Clough | Internal Medicine | 115 Norris Rd, Wilmington, DE 19803-4516 | 2008-05-07 |
| 1457345928 | John C Parker | Internal Medicine | 1500 Physicians Dr, Wilmington Health, Wilmington, NC 28401-7356 | 2005-09-09 |
| 1154688026 | Negin Misaghian-xanthos | Internal Medicine | 1500 Physicians Dr, Wilmington, NC 28401-7356 | 2012-04-17 |
| 1558669176 | Michael Favorito | Internal Medicine | 2421 Silver Stream Ln, Wilmington, NC 28401-7684 | 2011-03-06 |
| 1679747323 | Amy B. Wachter | Internal Medicine | 3506 Kennett Pike, Wilmington, DE 19807-3019 | 2008-04-14 |
| 1801945571 | Wilmington Endocrinology Pa | Internal Medicine | 1717 Shipyard Blvd, Suite 220, Wilmington, NC 28403-8023 | 2007-01-10 |
| 1629081682 | William L Jaffee | Internal Medicine | 1941 Limestone Road, Suite 107, Wilmington, DE 19808 | 2006-08-14 |
| 1134144330 | Prakash Seshadri | Internal Medicine | 3506 Kennett Pike, Cchs Diabetes and Metabolic Disease Center, Wilmington, DE 19807-3019 | 2006-07-12 |
| 1427080720 | Seth N Braunstein | Internal Medicine | 2421 Silver Stream Ln, Wilmington, NC 28401-7684 | 2006-07-07 |
| 1568490357 | Stuart Bryson Ley | Internal Medicine | 2421 Silver Stream Ln, Wilmington, NC 28401-7684 | 2006-06-29 |
| Find all providers in WILMINGTON | ||||
| 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.