MICHAEL L CENTRELLA, JR DPM (NPI# 1457400210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457400210 |
| Entity Type | Organization |
| Organization Name | MICHAEL L CENTRELLA, JR DPM |
| Practice Address |
1021 Gilpin Ave Suite 100 Wilmington DE 19806-3270 |
| Practice Telephone | 3026556584 |
| Practice Fax Number | 3026556910 |
| Mailing Telephone | 3026556584 |
| Mailing Fax Number | 3026556910 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL L CENTRELLA JR. (OWNER) |
| Authorized Official Telephone | 3026556584 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000025117 | 05 |
| Street Address |
1021 GILPIN AVE SUITE 100 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19806-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750495420 | Wilmington Pain and Rehabilitation Center, P.a. | Specialist | 1021 Gilpin Ave, Suite 101, Wilmington, DE 19806-3270 | 2006-08-18 |
| 1407261316 | Alyssa Reyes | Specialist/Technologist | 1021 Gilpin Ave, Wilmington, DE 19806-3270 | 2014-06-30 |
| 1770998213 | James Tigani Iv | Dentist | 1021 Gilpin Ave, Suite 205, Wilmington, DE 19806-3270 | 2014-06-23 |
| 1730437773 | United Medical Clinic, LLC | Internal Medicine | 1021 Gilpin Ave, Suite 203, Wilmington, DE 19806-3270 | 2012-08-23 |
| 1134489412 | United Medical Clinic LLC | Family Medicine | 1021 Gilpin Ave, Suite 203, Wilmington, DE 19806-3270 | 2012-05-21 |
| 1821226283 | Gentle Care Family Dentistry | Dentist | 1021 Gilpin Ave, Wilmington, DE 19806-3270 | 2009-06-24 |
| 1821222795 | Kristin Mary Tigani | Dentist | 1021 Gilpin Ave, Suite 205, Wilmington, DE 19806-3270 | 2009-05-07 |
| 1073765905 | Maria Ana Villanueva Valencia | Internal Medicine | 1021 Gilpin Ave, Suite 203, Wilmington, DE 19806-3270 | 2008-10-22 |
| 1851543862 | Carlo Rigor Valencia | Internal Medicine | 1021 Gilpin Ave, Suite 203, Wilmington, DE 19806-3270 | 2008-10-21 |
| 1609058155 | Ross Michael Ufberg | Physical Medicine & Rehabilitation | 1021 Gilpin Ave, Suite 101, Wilmington, DE 19806-3271 | 2007-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278899 | Gokulawathani Maheswaran | Physical Therapist | Regency Healthcare and Rehabilitation Center, 801, North Broom Street, Wilmington, DE 19806 | 2017-07-18 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1598992448 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1005 Delaware Avenue, Wilmington, DE 19806 | 2009-06-18 |
| 1144474750 | Delaware Chiropractic At Trolley Square | Chiropractor | 26b Trolley Square, Wilmington, DE 19806 | 2008-11-10 |
| 1780856070 | Medical Massage of Delaware | Point of Service | 2309 W 17th, Wilmington, DE 19806 | 2008-03-27 |
| 1548444755 | Ellen Louise Gay | Psychologist | 1311 N. Rodney St., Wilmington, DE 19806 | 2007-12-24 |
| 1073797643 | Melissa Erin Gregory | Counselor | 1213 Delaware Avenue, Wilmington, DE 19806 | 2007-12-19 |
| 1194922609 | Kymberly M Alvarado | Social Worker | 1213 Deleware Ave, Wilmington, DE 19806 | 2007-06-28 |
| 1083836605 | Counseling Services Inc | Community/Behavioral Health | 18 C Trolley Square, Wilmington, DE 19806 | 2007-05-03 |
| Find all providers in zip 19806 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609213537 | Douglas S Appel | Podiatrist | 1010 N Bancroft Pkwy Ste 12, Wilmington, DE 19805-2668 | 2013-06-01 |
| 1942592381 | Nicholas Charles Noah | Podiatrist | 5226 S College Rd Ste 4, Wilmington, NC 28412-2236 | 2011-05-04 |
| 1588718431 | John D Lanthier | Podiatrist | 4121 Abbington Ter, Wilmington, NC 28403-5577 | 2007-01-22 |
| 1932253689 | Gregory Mote | Podiatrist | 701 N Clayton Street, Mob Building Suite 400, Wilmington, DE 19805 | 2007-01-22 |
| 1871644708 | Howard J Kattler | Podiatrist | 2217 Old Orchard Rd, Wilmington, DE 19810-4153 | 2007-01-16 |
| 1912056607 | Total Foot Care P.a. | Podiatrist | 607 W 18th St, Wilmington, DE 19802-4707 | 2007-01-10 |
| 1548359318 | Patricia Ann Mcilrath | Podiatrist | 1200 Philadelphia Pike, Wilmington, DE 19809-2040 | 2006-10-12 |
| 1376638601 | Christopher Leigh Savage | Podiatrist | 1010 North Bancroft Parkway, Suite 12, Wilmington, DE 19805-2668 | 2006-10-03 |
| 1740213024 | Victor M Nippert | Podiatrist | 3801 Kennett Pike, Suite A-102, Wilmington, DE 19807 | 2006-07-09 |
| 1376595801 | Paul R. Glaser | Podiatrist | 4113 Oleander Dr, Suite G, Wilmington, NC 28403-6821 | 2006-05-16 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19806 |
Please comment or provide details below to improve the information on MICHAEL L CENTRELLA, JR DPM.
| 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.