DR. JENNY H PETKOVA (NPI# 1447202122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447202122 |
| Entity Type | Individual |
| Full Name | DR. JENNY H PETKOVA |
| Credential | MD |
| Practice Address |
4701 Ogletown Stanton Road Suite 4200 Newark DE 19713-2072 |
| Mailing Address |
Po Box 12210 Wilmington DE 19850 |
| Practice Telephone | 3027377700 |
| Practice Fax Number | 3027375407 |
| Mailing Telephone | 3027377700 |
| Mailing Fax Number | 3027375407 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 48256 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
C10010924 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34659600 | 05 | |
| HUMANA | 008806261J | 01 |
| Street Address |
4701 OGLETOWN STANTON ROAD SUITE 4200 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275509937 | Brian T Nam | Surgery | 4701 Ogletown Stanton Road, Suite 2100, Newark, DE 19713 | 2006-02-23 |
| 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 |
| 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 | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| 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 |
|---|---|---|---|---|
| 1053434985 | Dawn Michelle Gross | Internal Medicine | 39899 Balentine Dr, Suite 161, Newark, CA 94560-5355 | 2007-04-07 |
| 1982717930 | Michael W. Lankiewicz | Internal Medicine | 4701 Ogletown Stanton Rd, Suite 4200, Newark, DE 19713-2055 | 2006-08-16 |
| 1932178050 | Santos Eric Martin | Internal Medicine | 4701 Ogletown Stanton Rd, Suite 3400, Newark, DE 19713-2055 | 2006-03-14 |
| 1013913292 | Scott William Hall | Internal Medicine | 4701 Ogletown Stanton Rd, Ste 4200, Newark, DE 19713-2055 | 2005-06-22 |
| 1669477139 | Philip Mark Blatt | Internal Medicine | 4735 Ogletown Stanton Rd, Ste 2225, Newark, DE 19713-8000 | 2005-06-20 |
| 1245235712 | Frank V Beardell | Internal Medicine | 4701 Ogletown Stanton Rd, Ste 4200, Newark, DE 19713-2055 | 2005-06-20 |
| 1649275124 | Robert Bradley Slease | Internal Medicine | 4701 Ogletown Stanton Rd, Ste 4200, Newark, DE 19713-2055 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265502876 | Priya C Singh | Internal Medicine | 640 S State St 2nd Floor, Bayhealth Cancer Center Kent, Dover, DE 19901-3530 | 2006-11-09 |
| 1942423371 | Delaware Clinical & Laboratory Physicians, Pa | Internal Medicine | 56 W Main St, Suite 102a, Christiana, DE 19702-1505 | 2007-04-11 |
| 1003959974 | Pranitha Naini | Internal Medicine | 100 Wellness Way, Milford, DE 19963-4364 | 2007-02-14 |
| 1770566085 | Iftekhar A Khan | Internal Medicine | 100 Wellness Way, Milford, DE 19963-4364 | 2005-11-22 |
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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.