CHRISTIANA CARE HEALTH SERVICES, INC (NPI# 1134104565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134104565 |
| Entity Type | Organization |
| Organization Name | CHRISTIANA CARE HEALTH SERVICES, INC |
| Other Organization Name | CCHS SATELLITE OFFICES |
| Practice Address |
4735 Ogletown Stanton Rd Ste 1250 Newark DE 19713-2076 |
| Mailing Address |
200 Hygeia Dr Suite 2300 Newark DE 19713-2049 |
| Practice Telephone | 3026230200 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | PATRICIA D WATSON (CORPORATE DIRECTOR OF PATIENT FINAN) |
| Authorized Official Telephone | 3026237168 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIANA CARE HEALTH SERVICES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1134104565 | 05 |
| Other Name | Type Code |
|---|---|
| CCHS Satellite Offices | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 239 Christiana Rd, New Castle, DE 197202907 | 3023277630 | |
| 200 Hygeia Dr, Suite 2300, Newark, DE 197132049 | 3026237362 | |
| 900 Foulk Rd Ste 200, Wilmington, DE 198033155 | 3026558868 | |
| 4512 Kirkwood Hwy Ste 300, Wilmington, DE 198085129 | 3026237500 | |
| 2401 Philadelphia Pike, Claymont, DE 197032430 | 3024284110 | |
| 726 Yorklyn Rd Ste 100, Hockessin, DE 197078745 | 3022345770 | |
| 4745 Ogletown Stanton Rd Ste 231, Newark, DE 197132074 | 3026230200 | |
| 3506 Kennett Pike Ste 230, Wilmington, DE 198073019 | 3026613400 | |
| 100 Sunnyside Rd, Smyrna, DE 199771752 | 3026531900 | |
| 300 Biddle Ave Ste 2, Newark, DE 197023969 | 3028384750 | |
| 100 S Main St Ste 207, Smyrna, DE 199771479 | 3026594490 | |
| 621 Middletown Odessa Rd, Middletown, DE 197099602 | 3022302230 | |
| 4745 Ogletown Stanton Rd Ste 231, Newark, DE 197132074 | 3023207310 | |
| 100 S Riding Blvd, Wilmington, DE 198083692 | 3026232850 | |
| 84 Lantana Dr, Hockessin, DE 197078814 | 3026238000 | |
| 32 Peoples Plz, Newark, DE 197024727 | 3028346800 | |
| 313 W Main St Ste A, Newark, DE 197113217 | 3027314620 | |
| 94 Christiana Rd, New Castle, DE 197203118 | 3023277630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003850504 | Christiana Care Health Services, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hygeia Dr Ste 1360, Newark, DE 19713-2049 | 2006-06-15 |
| 1174508527 | Christiana Care Health Services, Inc | Pediatrics | 4735 Ogletown Stanton Rd Ste 1116, Newark, DE 19713-2089 | 2005-12-08 |
| 1376528729 | Christiana Care Health Services, Inc | Physician Assistant | 4755 Ogletown Stanton Rd Ste 1900, Newark, DE 19718-0001 | 2005-12-08 |
| 1952385122 | Christiana Care Health Services, Inc | Dentist | 501 W. 14th Street, Wilmington Hospital, Wilmington, DE 19899 | 2005-12-01 |
| 1306820725 | Christiana Care Health Services, Inc | Nurse Practitioner | Wilmington Hospital, 501 W. 14th Street, 2nd Floor, Wilmington, DE 19899 | 2005-11-30 |
| 1245674993 | Christiana Care Health Services, Inc | Electrodiagnostic Medicine | 4755 Ogletown Stanton Rd, Christiana Hospital, Newark, DE 19718-2200 | 2013-04-24 |
| 1417022880 | Christiana Care Health Services, Inc | Physical Medicine & Rehabilitation | 501 W 14th St, Wilmington Hospital - Center for Rehabilitation, Wilmington, DE 19801-1013 | 2006-11-21 |
| 1982778270 | Christiana Care Health Services, Inc | Optometrist | 200 Hygeia Dr, Heatlh Care Center At Christiana, Newark, DE 19713-2049 | 2006-11-20 |
| 1275615643 | Christiana Care Health Services, Inc | Surgery | 4755 Ogletown Stanton Rd, Suite 1e50, Newark, DE 19718-0001 | 2006-10-19 |
| 1194767269 | Christiana Care Health Services, Inc | Psychiatric Unit | 501 W 14th St, Wilmington, DE 19801-1013 | 2006-06-12 |
| Street Address |
4735 OGLETOWN STANTON RD STE 1250 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881198786 | Kelsey Elizabeth Huntoon | Nurse Practitioner | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2018-03-23 |
| 1225567464 | Keerthi L Surampudy | Family Medicine | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2017-06-10 |
| 1205127172 | Vishal R Patel | Internal Medicine | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2011-04-27 |
| 1679723258 | Vani Singh | Family Medicine | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2008-09-19 |
| 1740348986 | Gloria S. Kim | Registered Nurse | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461763 | Ginna Elizabeth Keil | Family Medicine | 16 Polly Drummond Shpg Ctr Ste 2, Newark, DE 19711-4861 | 2019-11-07 |
| 1386290609 | Corisa Mccloud | Family Medicine | 1025 Lawnview Ave, Newark, OH 43055-2611 | 2019-08-13 |
| 1811408172 | Bmg Newark LLC | Family Medicine | 794 Mount Prospect Ave Fl 2, Newark, NJ 07104-3221 | 2017-10-13 |
| 1982093852 | Physicians Care of Newark, Inc | Family Medicine | 68 Omega Dr, Suite D, Newark, DE 19713-2063 | 2015-01-15 |
| 1316365646 | Emmanuelle Ruocco | Family Medicine | 90 Bergen St Ste 300, Newark, NJ 07103-2425 | 2014-04-03 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1033477104 | Ironbound Family Medicine LLC | Family Medicine | 154 Van Buren St, 1st Floor, Newark, NJ 07105-2984 | 2012-04-26 |
| 1164790002 | St. Francis Hospital, Inc | Family Medicine | 1220 Capitol Trl, Newark, DE 19711-3924 | 2011-12-07 |
| 1255624896 | Carlos Alfonso Sanchez | Family Medicine | 617 Broad St, Newark, NJ 07102-4403 | 2011-05-16 |
| 1306072947 | Glenda Albizu | Family Medicine | 300 Biddle Ave Ste 200, Newark, DE 19702 | 2009-06-10 |
| Find all providers in NEWARK | ||||
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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.