DR. MARTA D. ILLUECA (NPI# 1194968214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194968214 |
| Entity Type | Individual |
| Full Name | DR. MARTA D. ILLUECA |
| Credential | M.D. |
| Practice Address |
1800 Concord Pike D3c-421 Wilmington DE 19850-5437 |
| Mailing Address |
1800 Concord Pike D3c-421 - P.o.box 15437 Wilmington DE 19850-5437 |
| Practice Telephone | 3028851487 |
| Mailing Telephone | 3028851487 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | C10007913 | DE | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
C10007913 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
1800 CONCORD PIKE D3C-421 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19850-5437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396933594 | Victor Sandor | Internal Medicine | 1800 Concord Pike, Astrazeneca Pharmaceuticals, C2b 425, Wilmington, DE 19803-2902 | 2007-10-12 |
| 1619452745 | Raymond Facciolo Jr. | Physical Therapist | 1800 Concord Pike, Wilmington, DE 19897-0001 | 2018-09-25 |
| 1174963227 | Anthony Joseph Piraino | General Practice | 1800 Concord Pike, Mail Stop B2b-023, Wilmington, DE 19897-0001 | 2013-07-02 |
| 1275884496 | John Lehman | Pharmacist | 1800 Concord Pike, Wilmington, DE 19897-0001 | 2012-09-27 |
| 1770726358 | Jonathan Sorof | Specialist | 1800 Concord Pike, D3c-124, Wilmington, DE 19850 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073666228 | Michael I Klibaner | Pathology | Astrazeneca L.p., 1800 Concord Pike, Wilmington, DE 19850 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497631 | Deanna Renee Underwood | Massage Therapist | 2502 Silverside Rd Ste 9, Wilmington, DE 19810-3740 | 2020-11-06 |
| 1104427954 | Ch Mh Services (de), LLC | Clinic/Center | 2417 Lancaster Ave Unit 110, Wilmington, DE 19805-3736 | 2020-11-06 |
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1255931051 | Mind Body & Sol Counseling and Consultation | Counselor | 831 N Tatnall St Ste M, Wilmington, DE 19801-1717 | 2020-10-30 |
| 1003416801 | Melissa Theresa Martinelli | Occupational Therapist | 1012 Graylyn Rd, Wilmington, DE 19803-3301 | 2020-10-29 |
| 1447850300 | Caroline Elizabeth Boyette | Behavior Technician | 5018 Hunt Club Rd Apt 7, Wilmington, NC 28403-0645 | 2020-10-29 |
| 1558961417 | Olivia Grace Warren | Behavior Technician | 217 Greenville Ave Unit B, Wilmington, NC 28403-3511 | 2020-10-29 |
| 1558961656 | Ce Kitchen Inc | Meals | 306 Old Dairy Rd, Wilmington, NC 28405-3766 | 2020-10-28 |
| 1770183279 | Heather Kealos | Registered Nurse | 24 Apache Way, Wilmington, MA 01887-2691 | 2020-10-26 |
| 1144820630 | Hugh Johnston | Hearing Instrument Specialist | 1706 W Newport Pike, Wilmington, DE 19804-3540 | 2020-10-26 |
| Find all providers in WILMINGTON | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1558908822 | Margaret Prygon | Pediatrics | 2620 Majestic Dr, Wilmington, DE 19810-2438 | 2019-12-05 |
| 1811309271 | Joanna Laura Shaffer | Pediatrics | 2055 Limestone Rd Ste 300, Wilmington, DE 19808 | 2014-05-20 |
| 1962841841 | Suguna Patibanda | Pediatrics | 2719 Pickering Rd, Wilmington, DE 19808-3636 | 2013-06-24 |
| 1952643314 | H. Leon Aussprung IIi | Pediatrics | 4619 Weldin Rd, Wilmington, DE 19803-4825 | 2013-03-25 |
| 1841556891 | Rachel A Overdevest | Pediatrics | 5500 Skyline Dr Ste 4, Wilmington, DE 19808-1772 | 2012-04-04 |
| 1770851925 | Forrest Glenn Hawkins | Pediatrics | 3 Perth Dr, Wilmington, DE 19803-2612 | 2011-12-02 |
| 1881987311 | Meghan Elizabeth Dougherty | Pediatrics | 2212 S 17th St, Wilmington, NC 28401-7515 | 2011-05-17 |
| 1467787184 | Annuradha Goel | Pediatrics | 1602 Jessup Street, Wilmington, DE 19802-4210 | 2009-10-14 |
| 1205078243 | Wilmington Health Pllc | Pediatrics | 4320 Henson Dr, Wilmington, NC 28405-7424 | 2009-04-06 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19850 |
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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.