CHRISTIANA CARE HEALTH SERVICES INC (NPI# 1700419967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700419967 |
| Entity Type | Organization |
| Organization Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Other Organization Name | CCHS OB/GYN PA |
| Practice Address |
721 E Baltimore Pike Kennett Square PA 19348-2405 |
| Mailing Address |
200 Hygeia Dr Ste 2300 Newark DE 19713-2049 |
| Practice Telephone | 3026613374 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | PATRICIA D WATSON (CORPORATE DIRECTOR OF PFS) |
| 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 |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CCHS OB/GYN PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024394 | Christiana Care Health Services Inc | Clinic/Center | 100 W 18th St, Wilmington, DE 19802-4836 | 2019-07-12 |
| 1922586288 | Christiana Care Health Services Inc | Counselor | 1080 Bunker Hill Rd, Middletown, DE 19709-9026 | 2018-07-30 |
| 1194255604 | Christiana Care Health Services Inc | Internal Medicine | 1011 W Baltimore Pike Ste 307, West Grove, PA 19390-9404 | 2017-06-16 |
| 1306375373 | Christiana Care Health Services Inc | Internal Medicine | 111 W High St Ste 104, Elkton, MD 21921-5549 | 2017-06-05 |
| 1104365790 | Christiana Care Health Services Inc | Counselor | 201 Jackson Ave, Conrad Schools of Science, Wilmington, DE 19804-2125 | 2017-02-16 |
| 1588950422 | Christiana Care Health Services Inc | Counselor | 1400 Foulk Rd, Brandywine High School, Room 102, Wilmington, DE 19803-2728 | 2011-06-20 |
| 1457593949 | Christiana Care Health Services Inc | Psychiatry & Neurology | 200 Hygeia Dr Ste 1420, Newark, DE 19713-2049 | 2009-03-30 |
| 1720128176 | Christiana Care Health Services Inc | Pharmacy | 4755 Ogletown Station Rd, Newark, DE 19718-0001 | 2007-02-07 |
| 1326022476 | Christiana Care Health Services Inc | Internal Medicine | 501 W 14th St Fl 6, Wilmington, DE 19801-1013 | 2005-12-02 |
| 1881228484 | Christiana Care Health Services Inc | Psychiatry & Neurology | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2020-02-24 |
| Street Address |
721 E BALTIMORE PIKE |
| City | KENNETT SQUARE |
| State | PA |
| Zip Code | 19348-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902072010 | Marybeth Rizzo Moore | Registered Nurse | 721 E Baltimore Pike, Kennett Square, PA 19348-2405 | 2008-05-08 |
| 1609409861 | Christiana Care Health Services Inc | Social Worker | 721 E Baltimore Pike, Kennett Square, PA 19348-2405 | 2020-02-17 |
| 1821634858 | Christiana Care Health Services Inc | Internal Medicine | 721 E Baltimore Pike, Kennett Square, PA 19348-2405 | 2019-11-25 |
| 1376803502 | Glea H Mazzuca | Internal Medicine | 721 E Baltimore Pike, Kennett Square, PA 19348-2405 | 2012-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832866 | Bradley Thomas Steese | Social Worker | Holcomb Behavioral Health Systems, 920 E. Baltimore Pike, Kennett Square, PA 19348 | 2020-08-24 |
| 1316319981 | Marie Daddario | Behavioral Analyst | 920 East Baltimore Pike, Holcomb Behavioral Health Systems, Kennett Square, PA 19348 | 2015-10-22 |
| 1578945291 | Therapeutic Guidance LLC | Social Worker | 500 Orchard Avenue, Kennett Square, PA 19348 | 2015-06-19 |
| 1265838858 | Nicole Zitarelli | Physical Therapist | 400 Mcfarlan Road, Kennett Square, PA 19348 | 2014-11-10 |
| 1013320613 | Andrew Casel | Physical Therapy Assistant | 101 East State Street Grs Hr Welcome Center, Kennett Square, PA 19348 | 2014-06-11 |
| 1821408428 | Katherine Scheponik | Occupational Therapist | 101 E. State St., Genesis Rehab Services, Kennet Square, PA 19348 | 2014-05-05 |
| 1518395359 | Scott James Sinick | Physical Therapist | 161 East State Street, Kennet Square, PA 19348 | 2013-10-14 |
| 1730520982 | Amanda Marie Mclean | Occupational Therapy Assistant | 101 State Street, Kennett Square, PA 19348 | 2013-07-16 |
| 1912254889 | Adrien M Trevisan | Dietitian, Registered | 639 Unionville Road, Kennett Square, PA 19348 | 2012-08-10 |
| 1659638781 | Stephanie N Strickland | Speech-Language Pathologist | 101 E State Street, Kennett Square, PA 19348 | 2012-04-13 |
| Find all providers in zip 19348 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103069 | Kongoormutt Ramakrishna Bhat | Obstetrics & Gynecology | 3 Jamison Dr, York, PA 17402-2615 | 2020-08-03 |
| 1811515307 | St. Luke's Physician Group, Inc. | Obstetrics & Gynecology | 3311 Nazareth Rd Fl 1, Easton, PA 18045-2017 | 2020-07-10 |
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1184257826 | St. Luke's Physician Group Inc., Dba | Obstetrics & Gynecology | 2925 William Penn Hwy Ste 104, Easton, PA 18045-5283 | 2020-02-21 |
| 1821633694 | Julia Claire Moran | Obstetrics & Gynecology | 1800 Union Ave, Natrona Heights, PA 15065-2201 | 2019-11-15 |
| 1851957948 | Stacie Marie Rickley | Obstetrics & Gynecology | 1265 New Germany Rd, Summerhill, PA 15958-5301 | 2019-05-14 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1003387572 | Carissa Susan Mcilwain | Obstetrics & Gynecology | 25 Bala Ave Ste 205, Bala Cynwyd, PA 19004-3215 | 2018-12-10 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | KENNETT SQUARE |
| Zip Code | 19348 |
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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.