CRESTVIEW MEDICAL CENTER P A (NPI# 1023147493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023147493 |
| Entity Type | Organization |
| Organization Name | CRESTVIEW MEDICAL CENTER P A |
| Practice Address |
1800 N Broom St Suite 109 Wilmington DE 19802-3809 |
| Practice Telephone | 3027624545 |
| Practice Fax Number | 3027629086 |
| Mailing Telephone | 3027624545 |
| Mailing Fax Number | 3027629086 |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CLEMENT A. OGUNWANDE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3027624545 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | C2-0004996 | DE | Managed Care Organizations |
| Street Address |
1800 N BROOM ST SUITE 109 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19802-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828352 | Allison Porter Nast | Nurse Practitioner | 1624 N Jessup Street, Wilmington, DE 19802 | 2018-10-29 |
| 1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
| 1477094365 | Jennifer Burris | Nurse Practitioner | 908-b East 16th Street, Wilmington, DE 19802 | 2017-03-13 |
| 1245694694 | Rochelle L Johnson | Counselor | 2005 Baynard Boulevard, Wilmington, DE 19802 | 2016-04-12 |
| 1942674692 | Barbara G Goldsmith | Social Worker | 501 W 37th St, Wilmington, DE 19802 | 2015-11-18 |
| 1942590492 | Olalekan David Falade | Pharmacist | 602 C4 West Lea Blvd, Wilmington, DE 19802 | 2011-04-18 |
| 1598919144 | Trina Brooks Haywood | Registered Nurse | 700 W Lea Blvd Ste 201, Wilmington, DE 19802 | 2008-11-10 |
| 1184808347 | Dr Lesly Robinson Dpm | Podiatrist | 4011 N Market Street, Wilmington, DE 19802 | 2007-12-24 |
| 1366622110 | Overbrook Therapy Associates | Community/Behavioral Health | 1015 West 24th Street, Wilmington, DE 19802 | 2007-11-09 |
| 1215059332 | Everett T Dickerson | Counselor | 620 W 27th St, Wilmington, DE 19802 | 2007-04-06 |
| Find all providers in zip 19802 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659889715 | Royal Family Dental Inc | Preferred Provider Organization | 1455 N Avalon Blvd, Wilmington, CA 90744-1506 | 2018-01-11 |
| 1326415357 | Bhs Wilmington Community Recovery Ceneter | Preferred Provider Organization | 1318 N Avalon Blvd, Wilmington, CA 90744-2639 | 2015-08-25 |
| 1417018565 | Masonboro Family Medicine, P.C. | Preferred Provider Organization | 6419 Carolina Beach Road, Suite A, Wilmington, NC 28412-2788 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588952618 | Westside Family Healthcare, Inc. | Preferred Provider Organization | 1020 Forrest Avenue, Dover, DE 19901 | 2011-07-11 |
| City | WILMINGTON |
| Zip Code | 19802 |
Please comment or provide details below to improve the information on CRESTVIEW MEDICAL CENTER P A.
| 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.