MR. RONNELL ANTHONY UPSHUR (NPI# 1912515776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912515776 |
| Entity Type | Individual |
| Full Name | MR. RONNELL ANTHONY UPSHUR |
| Credential | CPO |
| Practice Address |
1107 Mckennans Church Rd Wilmington DE 19808-2128 |
| Practice Telephone | 7346207595 |
| Mailing Telephone | 7346207595 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1107 MCKENNANS CHURCH RD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| City | WILMINGTON |
| Zip Code | 19808 |
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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.