PATRICK K PHELAN (NPI# 1528047420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528047420 |
| Entity Type | Individual |
| Full Name | PATRICK K PHELAN |
| Credential | PAC |
| Practice Address |
4755 Ogletown-stanton Rd Newark DE 19718 |
| Mailing Address |
Po Box 3048 Wilmington DE 19804 |
| Practice Telephone | 3027331000 |
| Practice Fax Number | 3027331833 |
| Mailing Telephone | 3022245678 |
| Mailing Fax Number | 3022242848 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C50000134 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000757443 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942851753 | Patrick Phelan | Counselor | 9939 Sw 184th Way, Vashon, WA 98070-5252 | 2019-09-23 |
| 1083771398 | Patrick E Phelan | Pediatrics | 1500 Oglethorpe Ave Bldg 600, Athens, GA 30606-2179 | 2007-01-03 |
| 1992334197 | Patrick S Phelan | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 576, Little Rock, AR 72205-7101 | 2020-04-08 |
| 1144412529 | Patrick Joseph Phelan | Surgery | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2007-08-09 |
| 1851484547 | Patrick Francis Phelan | Optometrist | 301 Fisher St, Rm 1a132, Keesler Air Force Base, MS 39534 | 2006-10-02 |
| Street Address |
4755 OGLETOWN-STANTON RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825579 | Rebecca Lynn Yourinson | Internal Medicine | 4755 Ogletown-stanton Rd, Newark, DE 19718-0001 | 2005-07-19 |
| 1952939480 | Amanda Eberhardt | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2020-03-30 |
| 1457855652 | Christopher Canfield | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2018-03-21 |
| 1346771847 | Tina Hu | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2017-03-26 |
| 1164812889 | Mahesh Polavarapu | Emergency Medicine | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2015-02-02 |
| 1962847707 | Sophia Cisler | Anesthesiology | 4755 Ogletown-stanton Rd, Newark, DE 19718-0002 | 2013-05-07 |
| 1407116296 | Amine El-amraoui | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Newark, DE 19718-0002 | 2012-05-25 |
| 1144589037 | Eleanore Maletta Swank | Emergency Medicine | 4755 Ogletown-stanton Rd, Christiana Hospital Ste 2a00, Newark, DE 19718 | 2012-05-11 |
| 1891062022 | Carol Ann Timko | Nurse Anesthetist, Certified Registered | 4755 Ogletown-stanton Rd, Newark, DE 19718-0002 | 2011-11-16 |
| 1295977825 | James Aaron Leonard | Anesthesiology | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2009-03-27 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647488 | Julia Siyao Yu | Physician Assistant | 541 Oakdale Rd Apt D, Newark, DE 19713-2928 | 2020-10-20 |
| 1376001990 | Kiley Dale Titus | Physician Assistant | 165 E Union St, Newark, NY 14513-1559 | 2019-03-04 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1750833646 | Rosalyn Hightower | Physician Assistant | 1213 Churchmans Rd, Newark, DE 19713-2149 | 2016-10-26 |
| 1013342757 | Leia Lavoie Collins | Physician Assistant | 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713-2072 | 2013-09-12 |
| 1447509179 | Chloe E Dickinson | Physician Assistant | 550 S College Ave Ste 115, Newark, DE 19706-1308 | 2012-09-10 |
| 1447509591 | Drew Pento | Physician Assistant | 4051 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-09-05 |
| 1568711034 | Jacqueline Pellenbarg | Physician Assistant | 4701 Ogletown Stanton Rd Ste 2100, Newark, DE 19713-7000 | 2012-08-30 |
| 1912284530 | Ian A Blizzard | Physician Assistant | 2600 Glasgow Ave Ste 124, Newark, DE 19702-4777 | 2011-11-10 |
| 1043596133 | Victoria Leicht | Physician Assistant | 537 Stanton Christiana Rd Ste 209, Newark, DE 19713-2148 | 2011-11-02 |
| Find all providers in NEWARK | ||||
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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.