CHRISTIANA CARE HEALTH SERVICES, INC (NPI# 1619951068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619951068 |
| Entity Type | Organization |
| Organization Name | CHRISTIANA CARE HEALTH SERVICES, INC |
| Other Organization Name | CCHS FAMILY MEDICINE |
| Practice Address |
1401 Foulk Rd Suite 100b Wilmington DE 19803-2763 |
| Mailing Address |
Po Box 30170 Wilmington DE 19805-7170 |
| Practice Telephone | 3024773300 |
| Practice Fax Number | 3024773168 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | PATRICIA D WATSON (CORPORATE DIRECTOR OF PATIENT FINA) |
| Authorized Official Telephone | 3026237168 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIANA CARE HEALTH SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1619951068 | 05 |
| Other Name | Type Code |
|---|---|
| CCHS Family Medicine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 W 14th St, Wilmington, DE 198011013 | 3024773300 | |
| 400 South St Ste 100, New Castle, DE 197205057 | 3023277630 | |
| 1400 N Washington St Ste 300, Wilmington, DE 198011024 | 3022551220 |
| 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 |
1401 FOULK RD SUITE 100B |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437146180 | Ina Li | Family Medicine | 1401 Foulk Rd, Suite 100, Wilmington, DE 19803-2763 | 2005-09-28 |
| 1487102646 | Alyssa M Hancock | Nurse Practitioner | 1401 Foulk Rd, Suite 100b, Wilmington, DE 19803-2763 | 2016-09-16 |
| 1366998361 | Southern Delaware Sportscare and Rehabilitation, LLC | Physical Therapist | 1401 Foulk Rd, Ste 203, Wilmington, DE 19803-2763 | 2016-08-30 |
| 1215301494 | Klc Support Services, LLC | Counselor | 1401 Foulk Rd, Suite 202, Wilmington, DE 19803-2763 | 2015-11-25 |
| 1518206838 | Advanced Surgical Associates | Surgery | 1401 Foulk Rd, Suite 207, Wilmington, DE 19803-2763 | 2013-02-06 |
| 1316205990 | Lindsey Szymaszek | Family Medicine | 1401 Foulk Rd, Suite 100, Wilmington, DE 19803-2763 | 2012-05-02 |
| 1316105471 | Kimberly Lynn Censurato | Counselor | 1401 Foulk Rd, Suite 202, Wilmington, DE 19803-2763 | 2008-05-27 |
| 1689863003 | Mary Lou Galantino | Physical Therapist | 1401 Foulk Rd, Christiana Care Physical Therapy Plus, Wilmington, DE 19803-2763 | 2007-10-22 |
| 1619188851 | Erin Melissa Kavanaugh | Family Medicine | 1401 Foulk Rd, Suite 100b, Wilmington, DE 19803-2763 | 2007-05-26 |
| 1043423049 | Deborah Hoffman | Nurse Practitioner | 1401 Foulk Rd, Suite 100b, Wilmington, DE 19803-2763 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
| 1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
| 1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
| 1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| Find all providers in zip 19803 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693922 | Delcare Health Solutions, LLC | Family Medicine | 2801 Lancaster Ave Ste E, Wilmington, DE 19805-5232 | 2020-09-14 |
| 1689288730 | Web Doctors, Inc | Family Medicine | 4023 Kennett Pike # 50372, Wilmington, DE 19807-2018 | 2020-09-06 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| 1003435256 | Lindo Family Health & Wellness Care | Family Medicine | 5309 Limestone Rd Ste B, Wilmington, DE 19808-1222 | 2020-04-08 |
| 1588296784 | Cityblock Medical Practice De, P.a. | Family Medicine | 1209 N Orange St, Wilmington, DE 19801-1120 | 2020-02-06 |
| 1033776323 | Advanced Regenerative Care of Wilmington, Pllc | Family Medicine | 4421 Junction Park Dr Ste 200, Wilmington, NC 28412-2291 | 2019-05-22 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1417343609 | Home Physicians Chesapeake, PC | Family Medicine | 300 Bellevue Pkwy, Suite 101, Wilmington, DE 19809-3704 | 2015-04-14 |
| 1952705725 | Healing Hand Family Care Clinics Corp | Family Medicine | 1231 N. Avalon Blvd, Wilmington, CA 90744-2601 | 2014-10-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19803 |
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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.