CHRISTIANA CARE HEALTH SERVICES INC (NPI# 1063877603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063877603 |
| Entity Type | Organization |
| Organization Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Other Organization Name | CCHS CONCORD - SPORTS MEDICINE |
| Practice Address |
161 Wilmington W Chester Pike Christiana Care Concord Health Center Chadds Ford PA 19317-9041 |
| Mailing Address |
200 Hygeia Dr Suite 2300 Newark DE 19713-2049 |
| Practice Telephone | 6103611030 |
| Mailing Telephone | 3026237362 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Authorized Official Name | THOMAS L CORRIGAN (EXECUTIVE VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 3026237203 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CCHS Concord - Sports Medicine | 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 |
161 WILMINGTON W CHESTER PIKE CHRISTIANA CARE CONCORD HEALTH CENTER |
| City | CHADDS FORD |
| State | PA |
| Zip Code | 19317-9041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124167515 | Raymond Eric Carter | Internal Medicine | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2007-02-05 |
| 1881228484 | Christiana Care Health Services Inc | Psychiatry & Neurology | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2020-02-24 |
| 1871137349 | Natalie Frentzel | Physical Therapist | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2019-10-29 |
| 1215590641 | Christiana Care Health Initiatives | Clinic/Center | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2019-04-22 |
| 1568928836 | Julie A Conway | Speech-Language Pathologist | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2019-02-12 |
| 1902370646 | Christiana Care Health Services Inc | Family Medicine | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2019-01-16 |
| 1457840894 | Jessica L Intintoli | Speech-Language Pathologist | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2018-05-01 |
| 1154837128 | Kelsey M Flynn | Speech-Language Pathologist | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2017-12-28 |
| 1548790058 | Christiana Care Health Services Inc | Genetic Counselor, MS | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2017-06-16 |
| 1063947323 | Christiana Care Health Services Inc | Psychologist | 161 Wilmington W Chester Pike, Christiana Care Concord Health Center, Chadds Ford, PA 19317-9041 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1780105999 | Kathleen Breslin | Clinical Neuropsychologist | 5 Christy Dr Ste 207, Chadds Ford, PA 19317 | 2017-06-28 |
| 1750823951 | Yildiz Omar Shah | Dentist | 8 Ponds Edge Dr Ste 2, Chadds Ford, PA 19317 | 2016-11-06 |
| 1477003531 | Dental Implant & Periodontal Surgeons of Maine Line, P.C. | Dentist | 107 Commons Ct, Chadds Ford, PA 19317 | 2016-10-12 |
| 1528434495 | Judith Js Ochs | Pediatrics | 1213 Fairville Road, Chadds Ford, PA 19317 | 2015-08-14 |
| 1700294626 | Gabrielle Van Heest | Behavioral Analyst | 920 Baltimore Pike, Chadds Ford, PA 19317 | 2014-07-23 |
| 1497199483 | Jill Pagliei LLC | Chiropractor | 220 Wilmington Pike, Suite 4, Chadds Ford, PA 19317 | 2013-04-22 |
| 1285832543 | Kevin Sperling | Internal Medicine | 601 Chadds Ford Drive, Suite 100, Chadds Ford, PA 19317 | 2007-07-10 |
| 1164554804 | Lee Anderson | Psychologist | 260 Kennett Pike, Chadds Ford, PA 19317 | 2007-03-09 |
| Find all providers in zip 19317 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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| 1730580895 | Lehigh Valley Physician Group | Family Medicine | 707 Hamilton St, Ste 400, Allentown, PA 18101-0000 | 2014-09-09 |
| 1952715211 | Scott Medical Health Center, PC | Family Medicine | 4472 William Penn Highway, Murrysville, PA 15668 | 2014-06-16 |
| 1558774547 | Enayetullah Neak | Family Medicine | 815 Freeport Rd., Pittsburgh, PA 15215 | 2014-06-06 |
| 1033520226 | Shane Patrick Hennessy | Family Medicine | 800 Plaza Dr Ste 400, Belle Vernon, PA 15012 | 2014-05-11 |
| Find all providers with the same taxonomy | ||||
| City | CHADDS FORD |
| Zip Code | 19317 |
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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.