FREDERICK TIBUAH


Address: 1601 Kirkwood Hwy, Wilmington, DE 19805-4917
Phone: 9103435300

FREDERICK TIBUAH (NPI# 1518504075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518504075
Entity Type Individual
Full Name FREDERICK TIBUAH
Practice Address 1601 Kirkwood Hwy
Wilmington
DE 19805-4917
Mailing Address 162 Darling St
Newark
DE 19702-3761
Practice Telephone 9103435300
Enumeration Date 2019-12-04
Last Update Date 2019-12-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZB0001X Pathology
Specialization: Blood Banking & Transfusion Medicine
243022 DE Allopathic & Osteopathic Physicians
Y 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
243022 DE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLUECROSS BLUESHIELD PAYAT50604321 01

Office Location

Street Address 1601 KIRKWOOD HWY
City WILMINGTON
State DE
Zip Code 19805-4917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174524565 Indukumar I Solanki Radiology 1601 Kirkwood Hwy, Radiology Service, Wilmington, DE 19805-4917 2005-08-09
1164035515 Analene Tunacao Surgery 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 2020-08-26
1104435163 Elyse Verdeyen Physician Assistant 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 2020-07-27
1609493287 Jennifer Ann Minnick Student in an Organized Health Care Education/Training Program 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 2020-06-30
1639796113 Leanne Bridget Heuer Optometrist 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 2020-06-30
1104441054 Kristina Andrews Optometrist 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 2020-06-16
1073136313 Henry Mattia Tucker Social Worker 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 2020-05-21
1104447184 Hae Sun Kim Pharmacist 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 2020-05-01
1912549940 Rachel Klein Psychologist 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 2019-10-10
1558910018 Leigh Andra Evans Dietitian, Registered 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 2019-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043854359 Balanced Life Counseling, LLC Social Worker 1621 Howland Street, Wilmington, DE 19805 2019-10-30
1376050468 Chelsey Bayles Counselor 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 2018-01-10
1629594098 Laura Sullivan-holland Registered Nurse 2713 Lancaster Avenue, Wilmington, DE 19805 2017-08-17
1013362151 Arthur Andrew Dermen Student in an Organized Health Care Education/Training Program 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 2016-04-26
1689031262 Ivps of Delaware Specialist 1305 Kirkwood Highway, Wilmington, DE 19805 2016-01-27
1043689110 Vitality Chiropractic and Rehabilitation Center Chiropractor 807 N Union Street, Wilmington, DE 19805 2015-09-18
1508259425 Karlou Michael Cartwright Nurse Practitioner 1100 South Broom St, Wilmington, DE 19805 2015-03-17
1629494737 Jennie Strickler Registered Nurse 1902 A Maryland Ave., Wilmington, DE 19805 2014-03-13
1487912119 Jamie Johnson Gellock Family Medicine 1802 W 4th Street, Wilmington, DE 19805 2012-05-01
1992089007 Abigail Triemstra Speech-Language Pathologist 1502 Spruce Avenue, Wilmington, DE 19805 2011-10-07
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Taxonomy Information

Taxonomy Code 207ZP0105X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Clinical Pathology/Laboratory Medicine

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063502706 Katrina A Conard Pathology A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803 2006-10-13
1093715567 Richard Palmer Pathology 701 N Clayton St, Wilmington, DE 19805-3165 2005-07-27
1770583478 James Monihan Pathology 701 N Clayton St, Wilmington, DE 19805 2005-07-26
1912907510 Yongling Bian Pathology 701 N Clayton St, Wilmington, DE 19805-3165 2005-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972503811 Doctors Pathology Services, Pa Pathology 1253 College Park Dr, Dover, DE 19904-8713 2005-07-21
1811192776 Naili Ma Pathology 640 S State St, Dover, DE 19901-3530 2007-06-19

Competitor

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City WILMINGTON
Zip Code 19805

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Dataset Information

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.

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