PRENTISS WAYNE ADKINS SR. (NPI# 1174528772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174528772 |
| Entity Type | Individual |
| Full Name | PRENTISS WAYNE ADKINS SR. |
| Credential | D.O. |
| Practice Address |
29475 Vines Creek Rd Dagsboro DE 19939-3839 |
| Practice Telephone | 3027329593 |
| Practice Fax Number | 3027329598 |
| Mailing Telephone | 3027329593 |
| Mailing Fax Number | 3027329598 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
C2-0002872 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | MAMSI | 2126367 | 01 |
| DE | AETNA | 876323 | 01 |
| DE | 0000167603 | 05 | |
| DE | COVENTRY | 210214 | 01 |
| DE | CAREFIRST MD | 52367105 | 01 |
| Street Address |
29475 VINES CREEK RD |
| City | DAGSBORO |
| State | DE |
| Zip Code | 19939-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437120110 | Dagsboro Family Practice, P.a. | Family Medicine | 29475 Vines Creek Rd, Dagsboro, DE 19939-3839 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170177 | Charlene Beebe | Registered Nurse | 505 Mid Ocean Dr, Dagsboro, DE 19939 | 2015-12-16 |
| 1447690979 | Erin Michelle Scharp | Physical Therapy Assistant | 29644 Colony Drive, Dagsboro, DE 19939 | 2013-06-28 |
| 1184068330 | Thomas Gerard Bailor | Contractor | 316 Baywinds Court, Dagsboro, DE 19939 | 2013-04-18 |
| 1770628067 | Jackie B Cannon | Physical Therapist | 35111 Seagrass Plantation Ln, Dagsboro, DE 19939 | 2007-02-21 |
| 1841302221 | Wendy W Brafman | Dentist | 31381 Dogwood Acres Rd, Unit 2, Dagsboro, DE 19939 | 2006-08-31 |
| 1134231509 | Brafman Family Dentistry Pa | Dentist | 31383 Dogwood Acres Rd, Unit 2, Dagsboro, DE 19939 | 2006-08-31 |
| 1639152705 | Dagsboro Volunteer Fire Department Inc | Ambulance | 31818 Waples St, Dagsboro, DE 19939 | 2005-11-22 |
| 1841299906 | Nancy Squires | Family Medicine | 32335 Dupont Blvd, Dagsboro, DE 19939 | 2005-07-20 |
| 1568756757 | Fit Consultants Physical Therapy, LLC | Physical Therapist | 35111 Seagrass Plantation Ln, Dagsboro, DE 19939 | 2011-06-05 |
| 1447492806 | Peninsula Regional Medical Center | Family Medicine | 32335 Dupont Blvd, Dagsboro Family Medicine, Dagsboro, DE 19939 | 2009-04-01 |
| Find all providers in zip 19939 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104171206 | Healthy Aging Clinic | Family Medicine | 1014 North Walnut Street, Milford, DE 19963-1244 | 2012-07-16 |
| 1003970781 | Charlene Browne | Family Medicine | 31/32 A Trolley Square, Wilmington, DE 19806 | 2006-12-20 |
| 1497753255 | Roberto M Villasenor | Family Medicine | 916 Middleford Rd, Seaford, DE 19973-3604 | 2005-07-14 |
| 1669098836 | Abigail Family Practice, LLC | Family Medicine | 412 Suburban Dr, Newark, DE 19711-3564 | 2020-06-23 |
| 1598242174 | Althea M Titus-grant | Family Medicine | 4051 Ogletown Rd Ste 200, Newark, DE 19713-3101 | 2018-07-25 |
| 1457507758 | Raphaele Todaro, M.d. | Family Medicine | 316 Lantana Dr, Hockessin, DE 19707-8807 | 2008-08-18 |
| 1730133992 | Beebe Physician Network Inc. | Family Medicine | 1515 Savannah Rd, Lewes, DE 19958-1675 | 2006-05-20 |
| 1841255247 | Sma Medicine, LLC | Family Medicine | 38 Deak Dr, Smyrna, DE 19977-1268 | 2006-04-19 |
Please comment or provide details below to improve the information on PRENTISS WAYNE ADKINS SR..
| 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.