WILMINGTON OTOLARYNGOLOGY ASSOCIATES, PA (NPI# 1518902451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518902451 |
| Entity Type | Organization |
| Organization Name | WILMINGTON OTOLARYNGOLOGY ASSOCIATES, PA |
| Practice Address |
2300 Pennsylvania Ave Suite 2a Wilmington DE 19806-1392 |
| Practice Telephone | 3026580404 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | WILLIAM L. MEDFORD (PRES) |
| Authorized Official Telephone | 3026580404 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 1989016985 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 000082102 | 05 |
| Street Address |
2300 PENNSYLVANIA AVE SUITE 2A |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19806-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772426 | Satoshi Ikeda | Specialist | 2300 Pennsylvania Ave, Suite 3 D, Wilmington, DE 19806-1392 | 2005-07-07 |
| 1659767028 | Lauren Galinat Bogdan | Otolaryngology | 2300 Pennsylvania Ave, Ste 2a, Wilmington, DE 19806-1379 | 2015-04-12 |
| 1376954248 | Vincent Longo Dmd | Dentist | 2300 Pennsylvania Ave, Suite 4a, Wilmington, DE 19806-1392 | 2014-05-14 |
| 1881946333 | Nancy Kate Pancko | Dentist | 2300 Pennsylvania Ave, Suite 5c, Wilmington, DE 19806-1392 | 2012-10-09 |
| 1770866378 | Pure Wellness of Wilmington, LLC | Chiropractor | 2300 Pennsylvania Ave, Suite 5b, Wilmington, DE 19806-1392 | 2011-09-21 |
| 1750697579 | Delaware Cardiology Care, LLC | Internal Medicine | 2300 Pennsylvania Ave, Suite 4c, Wilmington, DE 19806-1392 | 2010-08-31 |
| 1720392731 | Terri Lynch-kenyon | Audiologist-Hearing Aid Fitter | 2300 Pennsylvania Ave, 1c, Wilmington, DE 19806-1392 | 2010-08-02 |
| 1093957953 | Wilmington Cardiovascular Associates LLC | Internal Medicine | 2300 Pennsylvania Ave, Suite 4 C, Wilmington, DE 19806-1392 | 2009-03-24 |
| 1720279417 | Michael K. Rosenthal, D.o., P.C. | Dermatology | 2300 Pennsylvania Ave, Suite 3c, Wilmington, DE 19806-1392 | 2007-08-07 |
| 1215135629 | Peninsula Medical Associates, LLC | Family Medicine | 2300 Pennsylvania Ave, Suite 4-c, Wilmington, DE 19806-1392 | 2007-07-06 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790163434 | Henri Toufic Traboulsi | Otolaryngology | 331 Justison St, Apt 403, Wilmington, DE 19801-5181 | 2015-05-14 |
| 1972830545 | Robert V Fulk Jr. | Otolaryngology | 764 Forest Hills Dr, Wilmington, NC 28403-2510 | 2009-11-03 |
| 1770686214 | Awny Aziz Abdou | Otolaryngology | 1601 Kirkwood Hwy., Attn: Ent, Wilmington, DE 19805 | 2006-09-07 |
| 1891707840 | Sherif B Botros | Otolaryngology | 1625 Doctors Cir, Wilmington, NC 28401-7405 | 2006-08-11 |
| 1184668261 | Emilio R Valdes Jr. | Otolaryngology | 700 N Clayton Street, Otolaryngology Consultants Pa, Wilmington, DE 19899-0993 | 2006-06-16 |
| 1356391593 | Otolaryngology Consultants Pa | Otolaryngology | 700 North Clayton Street, Wilmington, DE 19805 | 2006-05-10 |
| 1548221690 | S E Vonbiberstein | Otolaryngology | 2311 Delaney Rd, Wilmington, NC 28403-6012 | 2006-03-29 |
| 1356344717 | Richard Alan Devore | Otolaryngology | 630 W Main St Ste 300, Wilmington, OH 45177-2172 | 2005-05-31 |
| 1285020495 | Margeaux Rose Corby | Otolaryngology | 2311 Delaney Ave, Wilmington, NC 28403-6012 | 2015-04-14 |
| 1659767028 | Lauren Galinat Bogdan | Otolaryngology | 2300 Pennsylvania Ave, Ste 2a, Wilmington, DE 19806-1379 | 2015-04-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19806 |
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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.