GILLESPIE PLASTIC & RECONSTRUCTIVE SURGERY (NPI# 1922591320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922591320 |
| Entity Type | Organization |
| Organization Name | GILLESPIE PLASTIC & RECONSTRUCTIVE SURGERY |
| Practice Address |
4001 Kennett Pike Ste 234 Wilmington DE 19807 |
| Mailing Address |
4001 Kennett Pike Ste 234 Wilmington DE 19807-2029 |
| Practice Telephone | 3028880508 |
| Practice Fax Number | 3028880509 |
| Mailing Telephone | 3028880508 |
| Mailing Fax Number | 3028880509 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | DR. JOHN W GILLESPIE III (PRESIDENT) |
| Authorized Official Telephone | 3028880508 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
C1-0012570 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
4001 KENNETT PIKE STE 234 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063438604 | John Joseph Danyo Jr. | Plastic Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807-2029 | 2006-07-15 |
| 1790002954 | John William Gillespie IIi | Plastic Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2010-04-28 |
| 1336349208 | John Joseph Danyo Jr, M.d. | Specialist | 4001 Kennett Pike Ste 234, Wilmington, DE 19807-2029 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477846590 | Alex M Raney | Urology | 923 Barley Drive, Wilmington, DE 19807 | 2011-05-23 |
| 1881847580 | Michael D. Lenz | Dentist | 2309 Pennsylvania Ave., Wilmington, DE 19807 | 2008-10-28 |
| 1801934104 | Christine Lynne Eckery | Counselor | 230 Presidential Drive, Suite 003, Wilmington, DE 19807 | 2007-02-01 |
| 1740213024 | Victor M Nippert | Podiatrist | 3801 Kennett Pike, Suite A-102, Wilmington, DE 19807 | 2006-07-09 |
| 1164421731 | Elizabeth L Thomas-bauer, Np | Nurse Practitioner | 3506 Kennett Pike, Suite 301, Wilmington, DE 19807 | 2005-07-18 |
| 1063805315 | Acts Signature Community Services, Inc. | Internal Medicine | 4830 Kennett Pike, Wilmington, DE 19807 | 2015-03-11 |
| 1790085249 | Mary Brent Whipple | Social Worker | 100 N Dupont Rd, Wilmington, DE 19807 | 2010-11-01 |
| 1578700472 | Sonia E Palermo | Nurse Practitioner | 3506 Kennett Pike, Wilmington, DE 19807 | 2009-01-14 |
| 1760510598 | William Silver | Social Worker | 5829 Kennett Pike, Centreville, DE 19807 | 2007-03-01 |
| 1902909245 | Stephanie S Zhang | Dietitian, Registered | 3506 Kennett Pike, Cchs Pmri, Wilmington, DE 19807 | 2006-09-05 |
| Find all providers in zip 19807 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043356868 | Tor Martin Ljung | Surgery | 6752 Parker Farm Dr # 200, Wilmington, NC 28405-3175 | 2007-01-29 |
| 1689676611 | Charles Richard Kays | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-10 |
| 1609877836 | Kenneth Samuel White | Surgery | 1404 Commonwealth Dr, Wilmington, NC 28403-1473 | 2005-08-10 |
| 1568463131 | Jeffrey Scott Church | Surgery | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2005-08-09 |
| 1487650867 | Benjamin Cooper | Surgery | 1941 Limestone Rd Ste 101, Wilmington, DE 19808-5413 | 2005-06-22 |
| 1235195389 | Wilmington Plastic Surgery Specialists, P.a. | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2006-04-25 |
| 1275535072 | Mark Wayne Morgan | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-11 |
| 1598767535 | Dennis Bart Nicks | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093044091 | Jonathan N Saunders Md Pa | Surgery | E62 Omega Professional Center, Newark, DE 19713-2061 | 2009-12-22 |
| 1427209402 | David E. Schmidt Jr., M.d.p.a. | Surgery | 200 Banning St., Suite 230, Dover, DE 19904 | 2008-10-08 |
| 1578731857 | Julia W Macrae Md Pa | Surgery | E-62 Omega Dr, Newark, DE 19713-2061 | 2008-02-20 |
| 1912123894 | Christiana Cosmetic Surgery Consultants LLC | Surgery | E 62 Omega Professional Center, Newark, DE 19713 | 2007-04-18 |
| 1902988256 | Julia W Macrae | Surgery | E62 Omega Dr, Omega Professional Center, Newark, DE 19713 | 2006-10-19 |
| 1194831149 | David E Schmidt Jr. | Surgery | 896 S State St, Dover, DE 19901-4148 | 2006-08-22 |
| 1912215542 | Delaware Plastic Surgery Pa | Surgery | 200 Banning St, Suite 230, Dover, DE 19904-3485 | 2010-09-16 |
| 1235252669 | John L Roussalis | Surgery | 537 Stanton Christiana Rd, Newark, DE 19713-2146 | 2007-04-09 |
| City | WILMINGTON |
| Zip Code | 19807 |
Please comment or provide details below to improve the information on GILLESPIE PLASTIC & RECONSTRUCTIVE SURGERY.
| 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.