WILMINGTON PEDIATRICS, INC. (NPI# 1790841591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790841591 |
| Entity Type | Organization |
| Organization Name | WILMINGTON PEDIATRICS, INC. |
| Practice Address |
500 Salem St Wilmington MA 01887-1200 |
| Practice Telephone | 9789886209 |
| Practice Fax Number | 9789886139 |
| Mailing Telephone | 9789886209 |
| Mailing Fax Number | 9789886139 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | DR. NORMAND A. TANGUAY (PRESIDENT) |
| Authorized Official Telephone | 9789886209 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS GROUP NUMBER | 600594 | 01 |
| MA | 9765387 | 05 | |
| MD | BLUE CROSS GROUP NUMBER | M15347 | 01 |
| Street Address |
500 SALEM ST |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029648 | Sandy Stephens | Pediatrics | 500 Salem St, Wilmington, MA 01887-1200 | 2005-11-03 |
| 1679031959 | Haley Govoni | Nurse Practitioner | 500 Salem St, Wilmington, MA 01887-1200 | 2019-03-06 |
| 1225487432 | Gayathry Sooriyakumar Nene | Pediatrics | 500 Salem St, Wilmington, MA 01887-1200 | 2016-06-08 |
| 1326398207 | Sara Marie Barnes | Audiologist-Hearing Aid Fitter | 500 Salem St, Route 62, Wilmington, MA 01887-1200 | 2012-09-18 |
| 1407104060 | Kristen Laramie Wagoner | Nurse Practitioner | 500 Salem St, Wilmington, MA 01887-1200 | 2012-08-29 |
| 1992944995 | Jessica Marie Delaney-sloper | Nurse Practitioner | 500 Salem St, Wilmington, MA 01887-1200 | 2009-02-13 |
| 1073637393 | Pamela Jean Cote | Dietitian, Registered | 500 Salem St, Winchester Hospital Family Medical Center, Wilmington, MA 01887-1200 | 2007-03-19 |
| 1669540415 | Sarah Kashi | Audiologist | 500 Salem St, Wilmington, MA 01887-1200 | 2006-12-01 |
| 1003856543 | Mark A Macklis | Obstetrics & Gynecology | 500 Salem St, Wilmington, MA 01887-1200 | 2006-06-06 |
| 1598721524 | Theodore Guldemond | Internal Medicine | 500 Salem St, Wilmington, MA 01887-1200 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1558908822 | Margaret Prygon | Pediatrics | 2620 Majestic Dr, Wilmington, DE 19810-2438 | 2019-12-05 |
| 1811309271 | Joanna Laura Shaffer | Pediatrics | 2055 Limestone Rd Ste 300, Wilmington, DE 19808 | 2014-05-20 |
| 1962841841 | Suguna Patibanda | Pediatrics | 2719 Pickering Rd, Wilmington, DE 19808-3636 | 2013-06-24 |
| 1952643314 | H. Leon Aussprung IIi | Pediatrics | 4619 Weldin Rd, Wilmington, DE 19803-4825 | 2013-03-25 |
| 1841556891 | Rachel A Overdevest | Pediatrics | 5500 Skyline Dr Ste 4, Wilmington, DE 19808-1772 | 2012-04-04 |
| 1770851925 | Forrest Glenn Hawkins | Pediatrics | 3 Perth Dr, Wilmington, DE 19803-2612 | 2011-12-02 |
| 1881987311 | Meghan Elizabeth Dougherty | Pediatrics | 2212 S 17th St, Wilmington, NC 28401-7515 | 2011-05-17 |
| 1467787184 | Annuradha Goel | Pediatrics | 1602 Jessup Street, Wilmington, DE 19802-4210 | 2009-10-14 |
| 1205078243 | Wilmington Health Pllc | Pediatrics | 4320 Henson Dr, Wilmington, NC 28405-7424 | 2009-04-06 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
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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.