DR. KATHLEEN PITTERLE PETRICK (NPI# 1396038154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396038154 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN PITTERLE PETRICK |
| Other Name | DR. KATHLEEN MARIE PITTERLE |
| Credential | D.O. |
| Practice Address |
1600 Rockland Road Wilmington DE 19803 |
| Practice Telephone | 3026514500 |
| Practice Fax Number | 3026514543 |
| Mailing Telephone | 3026514500 |
| Mailing Fax Number | 3026514543 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 262292 | MA | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
C2-0012722 | DE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Nemours Nj Physician Practice P.C., Deptford, 1280 Almonesson Road, Deptford, NJ 080965502 | 8563451401 | |
| 800 Washington St, Boston, MA 021111552 | 6176367242 | |
| 1801 Rockland Rd Ste 302, Wilmington, DE 198033648 | 3026514200 |
| Street Address |
1600 ROCKLAND ROAD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770956 | John W. Ostrowski | Anesthesiology | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2005-09-14 |
| 1386148534 | Douglas Mcintosh Jones Iv | Student in an Organized Health Care Education/Training Program | 1600 Rockland Road, Wilmington, DE 19803 | 2018-03-22 |
| 1245774520 | Victoria Louise Holmes | Nurse Practitioner | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2016-12-06 |
| 1245694652 | Cristina Mcgreal | Nurse Practitioner | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2016-04-12 |
| 1316367899 | Abraham Oommen | Anesthesiology | 1600 Rockland Road, Wilmington, DE 19803-4824 | 2014-04-23 |
| 1982979308 | Emily E. Craft | Dietitian, Registered | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2012-03-19 |
| 1952672958 | Robin Jane Gilligan | Nurse Practitioner | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2012-01-23 |
| 1861787970 | Megan K. Wilson | Nurse Anesthetist, Certified Registered | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2011-06-16 |
| 1235420605 | Clare Stephens | Pediatrics | 1600 Rockland Road, Wilmington, DE 19890 | 2011-04-20 |
| 1821388703 | Felicia A. Connor | Psychologist | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2011-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
| 1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
| 1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
| 1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| Find all providers in zip 19803 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104985183 | J. Jordan Storlazzi Jr. | Pediatrics | 2700 Silverside Rd, Wilmington, DE 19810-3719 | 2006-12-06 |
| 1427140276 | Rhonda S. Walter | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1629160478 | Oliver J. Yost | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1952493827 | Anne M. Meduri | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1699867473 | Richard S. Kingsley | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265557540 | Carol Ann Owens | Pediatrics | 18 N Walnut St, Child Development Watch, Milford, DE 19963-1446 | 2007-03-19 |
| City | WILMINGTON |
| Zip Code | 19803 |
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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.