WILMINGTON HEALTH PLLC


Address: 4320 Henson Dr, Wilmington, NC 28405-7424
Phone: 9103501787

WILMINGTON HEALTH PLLC (NPI# 1205078243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205078243
Entity Type Organization
Organization Name WILMINGTON HEALTH PLLC
Other Organization Name THE CHILDREN'S CLINIC AT NORTHCHASE
Practice Address 4320 Henson Dr
Wilmington
NC 28405-7424
Mailing Address 1202 Medical Center Dr
Wilmington
NC 28401-7307
Practice Telephone 9103501787
Practice Fax Number 9103925037
Mailing Telephone 9103413300
Mailing Fax Number 9102518824
Enumeration Date 2009-04-06
Last Update Date 2015-05-05
Authorized Official Name CHASITY CHACE (DIRECTOR OF BUSINESS SERVICES)
Authorized Official Telephone 9103413384
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 73991 NC Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
The Children's Clinic at Northchase Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215593819 Wilmington Health Pllc Clinic/Center 1811 Tiburon Dr, Wilmington, NC 28403-6254 2019-05-20
1851600159 Wilmington Health Pllc Family Medicine 20 Southend Ct, Hampstead, NC 28443-7013 2010-10-04
1043485097 Wilmington Health Pllc Sleep Specialist, PhD 1227 Medical Center Dr, Wilmington, NC 28401-7306 2008-04-29
1396910659 Wilmington Health Pllc Specialist 8064 Market St, Wilmington, NC 28411-9384 2008-04-28
1902439169 Wilmington Health Pllc Clinic/Center 612 College St, Jacksonville, NC 28540-5311 2020-02-17
1417234683 Wilmington Health Pllc Hearing Instrument Specialist 2421 Silver Stream Ln, Atten: Credentialing, Wilmington, NC 28401-7684 2011-11-15
1912210865 Wilmington Health Pllc Family Medicine 1000 Brabham Avenue, Jacksonville, NC 28546-5003 2010-07-21
1780996173 Wilmington Health Pllc Family Medicine 5245 S College Rd, Wilmington, NC 28412-2209 2010-07-14
1326350190 Wilmington Health Pllc Internal Medicine 4222 Long Beach Rd Se, Southport, NC 28461-8627 2010-07-09
1760623730 Wilmington Health Pllc Otolaryngology 8090 Market St, Wilmington, NC 28411-9384 2009-03-20

Office Location

Street Address 4320 HENSON DR
City WILMINGTON
State NC
Zip Code 28405-7424

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NPI Name Taxonomy Address Enumeration
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1710345400 Martha Arielle Walker Physician Assistant 6727 Parker Farm Dr, Wilmington, NC 28405 2016-02-09
1033549910 Christine Urban Bruin Psychologist 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 2013-11-14
1487083358 Aci Support Specialists Day Training, Developmentally Disabled Services 117 Spartan Road, Wilmington, NC 28405 2013-11-01
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1568718328 Cameron Nichole Ford Occupational Therapy Assistant 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 2012-07-31
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1073755831 Leslie A Herrmann Pediatrics 212 W 14th St Apt 4, Wilmington, DE 19801-1134 2009-03-25
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City WILMINGTON
Zip Code 28405

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Dataset Information

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.

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