DELAWARE INTEGRATIVE MEDICAL CENTER (NPI# 1659798353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659798353 |
| Entity Type | Organization |
| Organization Name | DELAWARE INTEGRATIVE MEDICAL CENTER |
| Other Organization Name | DELAWARE INTEGRATIVE MEDICAL CENTER |
| Practice Address |
20930 Dupont Blvd Suite 202 Georgetown DE 19947-1725 |
| Mailing Address |
20930 Dupont Blvd Georgetown DE 19947-1725 |
| Practice Telephone | 3022588853 |
| Practice Fax Number | 3022538430 |
| Mailing Telephone | 3022588853 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | DR. HENRY E CHILDERS IV (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7407274686 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C1-0009809 | DE | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Delaware Integrative Medical Center | Doing Business As Name - Organization |
| Street Address |
20930 DUPONT BLVD SUITE 202 |
| City | GEORGETOWN |
| State | DE |
| Zip Code | 19947-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265415491 | Henry E Childers Iv | General Practice | 20930 Dupont Blvd, Suite 202, Georgetown, DE 19947-1725 | 2005-11-22 |
| 1295109254 | Delaware Sleep Disorder Centers, LLC | Clinic/Center | 20930 Dupont Blvd, Suite 202, Georgetown, DE 19947-1725 | 2015-11-13 |
| 1437547106 | Jennifer Gick Callard | Registered Nurse | 20930 Dupont Blvd, 101, Georgetown, DE 19947-1725 | 2015-01-05 |
| 1396991675 | Peninsula Plastic Surgery, P.C. | Specialist | 20930 Dupont Blvd, 201 Gray Stone Towers, Georgetown, DE 19947-1725 | 2008-08-18 |
| 1053513127 | Georgetown Medical Associates, LLC | Internal Medicine | 20930 Dupont Blvd, Suite 101, Georgetown, DE 19947-1725 | 2007-06-01 |
| 1093928756 | Rita Elizabeth Jean Meadows | Nurse Practitioner | 20930 Dupont Blvd, Suite 101, Georgetown, DE 19947-1725 | 2007-05-08 |
| 1487788055 | Lori Sherman Irelan | Nurse Practitioner | 20930 Dupont Blvd, Suite 101, Georgetown, DE 19947-1725 | 2007-03-15 |
| 1407811490 | Beshara N Helou | Internal Medicine | 20930 Dupont Blvd, Suite 101, Georgetown, DE 19947-1725 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417454794 | Adrienne Evans | Counselor | 20505 Dupont Blvd., Georgetown, DE 19947 | 2018-04-12 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1558891143 | Anthony Powell | Registered Nurse | 18357 Dupont Blvd, Georgetown, DE 19947 | 2017-06-15 |
| 1295262905 | Christa Rodriguez | Registered Nurse | 22975 Lewes Georgetown Hwy, Georgetown, DE 19947 | 2017-05-12 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1649628637 | Penelope Pitts | Counselor | 20707 N Dupont Boulevard, Georgetown, DE 19947 | 2016-05-31 |
| 1972996361 | Rocky Mountain Holdings, LLC | Ambulance | 21479 Rudder Ln, Georgetown, DE 19947 | 2015-03-10 |
| 1639413867 | Sheri Lynn Mcafee-garner | Nurse Practitioner | 23203 Dupont Blvd, Georgetown, DE 19947 | 2012-11-09 |
| 1417205071 | Amber Nichole West | Occupational Therapy Assistant | 110 West North Street, Georgetown, DE 19947 | 2012-08-29 |
| 1104130657 | Brain Works Incorporated | Counselor | 20155 Office Circle, Suite 2 Georgetown Professional Park, Georgetown, DE 19947 | 2010-07-27 |
| Find all providers in zip 19947 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1184923658 | Hugh M Tadlock Md Pa | Internal Medicine | 316 Starview Dr, Georgetown, TX 78628-3906 | 2011-03-22 |
| 1750577862 | Kumar Sathianathan, Mdpa | Internal Medicine | 3613 Williams Dr Ste 404, Georgetown, TX 78628-1370 | 2007-09-21 |
| 1265640411 | Andrew Peter Balbaugh | Internal Medicine | 196 Bevins Ln, Suite F, Georgetown, KY 40324-8534 | 2007-05-20 |
| 1891916243 | Karen R Hill | Internal Medicine | 3201 S. Austin Ave., Suite 205, Georgetown, TX 78626 | 2007-05-02 |
| 1124248075 | John Edward Durst | Internal Medicine | 20621 Savannah Rd, Georgetown, DE 19947-2260 | 2007-04-25 |
| 1568589000 | Lawrence Stephen Mcdonald | Internal Medicine | 23207 Dupont Blvd, Sci, Georgetown, DE 19947-2664 | 2007-03-22 |
| 1467587592 | Romina M. Thomas | Internal Medicine | 10 N Front St, Georgetown, DE 19947-1414 | 2007-02-22 |
| 1235292343 | Joel Anthony Knight | Internal Medicine | 196 Bevins Ln F, Georgetown, KY 40324-8534 | 2006-12-19 |
| 1528092467 | Darush Rahmani, D.o., P.a. | Internal Medicine | 2110 Scenic Dr, Georgetown, TX 78626-7728 | 2006-07-10 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 19947 |
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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.