DELAWARE DIAGNOSTIC SERVICES, INC. (NPI# 1164445169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164445169 |
| Entity Type | Organization |
| Organization Name | DELAWARE DIAGNOSTIC SERVICES, INC. |
| Practice Address |
4512 Kirkwood Hwy Suite 202 Wilmington DE 19808-5123 |
| Mailing Address |
Po Box 5020 Wilmington DE 19808-0020 |
| Practice Telephone | 3028926200 |
| Practice Fax Number | 3028926206 |
| Mailing Telephone | 3028926200 |
| Mailing Fax Number | 3028926206 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRANK DIGREGORIO (DIRECTOR OF IMAGING SERVICES) |
| Authorized Official Telephone | 3028926200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
DE | Allopathic & Osteopathic Physicians | |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DE | Allopathic & Osteopathic Physicians | |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000908602 | 05 |
| Street Address |
4512 KIRKWOOD HWY SUITE 202 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409029 | Poorwa I Kenkre | Internal Medicine | 4512 Kirkwood Hwy, Suite 300, Wilmington, DE 19808-5123 | 2005-07-05 |
| 1073998605 | Matthew Petruccelli II | Physical Therapist | 4512 Kirkwood Hwy, Ste 303, Wilmington, DE 19808-5123 | 2015-07-24 |
| 1912381906 | Pivot Physical Therapy | Clinic/Center | 4512 Kirkwood Hwy, Ste. 303, Wilmington, DE 19808-5123 | 2015-07-20 |
| 1891048179 | Regional Medical Group LLC | Family Medicine | 4512 Kirkwood Hwy, Ste 202, Wilmington, DE 19808-5123 | 2012-10-24 |
| 1699908558 | Debra L Delaney | Nurse Practitioner | 4512 Kirkwood Hwy, Suite 300, Wilmington, DE 19808-5123 | 2009-08-26 |
| 1417140088 | Christine Arnold | Physical Therapist | 4512 Kirkwood Hwy, Suite 101, Wilmington, DE 19808-5123 | 2007-08-27 |
| 1952519118 | Andra Mirela Popescu | Internal Medicine | 4512 Kirkwood Hwy, Suite 301, Wilmington, DE 19808-5123 | 2007-05-20 |
| 1982720538 | Laura Manfield | Family Medicine | 4512 Kirkwood Hwy, #301, Wilmington, DE 19808-5123 | 2007-03-22 |
| 1306993316 | Pramod K Yadhati | Anesthesiology | 4512 Kirkwood Hwy, Suite 200, Wilmington, DE 19808-5123 | 2007-01-04 |
| 1801943824 | Brandywine Pain Management P A | Anesthesiology | 4512 Kirkwood Hwy, Suite 200, Wilmington, DE 19808-5123 | 2007-01-04 |
| Find all providers in the same location | ||||
| 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 | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| 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.