JOHANNA FOSTER DETWILER (NPI# 1578072021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578072021 |
| Entity Type | Individual |
| Full Name | JOHANNA FOSTER DETWILER |
| Credential | PA-C |
| Practice Address |
2722 Concord Pike Wilmington DE 19803-5007 |
| Mailing Address |
150 E Wynnewood Rd Apt 10a Wynnewood PA 19096-1526 |
| Practice Telephone | 3024771406 |
| Mailing Telephone | 2536788998 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2722 CONCORD PIKE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692182 | Medexpress, Inc - Delaware | Clinic/Center | 2722 Concord Pike, Wilmington, DE 19803-5007 | 2012-06-07 |
| 1871141531 | Deborah Ann Mcdermott | Nurse Practitioner | 2722 Concord Pike, Wilmington, DE 19803-5007 | 2019-08-27 |
| 1780038406 | Suzzette Maria Alio Llado | Family Medicine | 2722 Concord Pike, Wilmington, DE 19803-5007 | 2016-04-19 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244471 | Caroline Gooch Reynolds | Physician Assistant | 340 Sabra Dr, Wilmington, NC 28405-3833 | 2020-01-13 |
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1770950305 | Angelica Jackson | Physician Assistant | 1982 Eastwood Rd, Wilmington, NC 28403-7213 | 2015-08-31 |
| 1396015939 | Access Internal Medicine, PC | Physician Assistant | 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 | 2012-01-11 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1932387842 | Gabrielle Logan Neal-barney | Physician Assistant | 2301 Delaney Ave, Wilmington, NC 28403-6012 | 2008-02-01 |
| 1528247244 | Teresa A. Holler | Physician Assistant | 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 | 2007-10-30 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19803 |
Please comment or provide details below to improve the information on JOHANNA FOSTER DETWILER.
| 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.