ALFRED DE MARIA (NPI# 1619085545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619085545 |
| Entity Type | Individual |
| Full Name | ALFRED DE MARIA |
| Credential | MD |
| Practice Address |
1222 Medical Center Dr Attn: Credentialing Wilmington NC 28401-7307 |
| Mailing Address |
2511 Delaney Ave Wilmington NC 28403-6003 |
| Practice Telephone | 9103413383 |
| Practice Fax Number | 9103413321 |
| Mailing Telephone | 9107729202 |
| Mailing Fax Number | 8663458963 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
21641 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 130013806 | 01 |
| NC | BCBS NC | 28311 | 01 |
| NC | 8928311 | 05 |
| Street Address |
1222 MEDICAL CENTER DR ATTN: CREDENTIALING |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649206939 | Gail Imhof | Nurse Practitioner | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2006-06-25 |
| 1205316221 | Madeline Chastain Havens | Nurse Practitioner | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2018-08-20 |
| 1417112053 | Cape Fear Center for Medical Arts | Internal Medicine | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2008-07-23 |
| 1932364791 | Atlantic Health Clinic, Pa | Internal Medicine | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2008-07-22 |
| 1154521904 | The Cape Fear Center for Medical Arts | Clinic/Center | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2007-07-19 |
| 1376680660 | Borislav Margaritov Mravkov | Psychiatry & Neurology | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2007-01-30 |
| 1851447478 | Timothy Oster | Psychiatry & Neurology | 1222 Medical Center Dr, Attn: Credentialing, Wilmington, NC 28401-7307 | 2007-01-26 |
| 1235202235 | Roy L Creasy Jr. | Chiropractor | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669675484 | Brandywine Center for Wellness | Psychiatry & Neurology | 515 W 18th St, Wilmington, DE 19802-4705 | 2007-06-08 |
| 1114028123 | George John Scontsas | Psychiatry & Neurology | 1201 Medical Center Drive, Wilmington, NC 28401-7306 | 2006-09-25 |
| 1922119429 | Spencer G Weig | Psychiatry & Neurology | 5121 Woods Edge Rd, Wilmington, NC 28409-3975 | 2006-08-31 |
| 1043224504 | Chih-cheng Frank Chen | Psychiatry & Neurology | 1608 Wellington Avenue, Wilmington Neurology Clinic, Wilmington, NC 28401-7757 | 2006-07-28 |
| 1962432716 | Marc S D'angelo | Psychiatry & Neurology | 6632 River Rd, Wilmington, NC 28412-3012 | 2006-07-04 |
| 1114423118 | Neurostar Inc. | Psychiatry & Neurology | 6 Sharpley Rd, Wilmington, DE 19803-2941 | 2018-03-30 |
| 1619397726 | Gurcharanjeet Kaur | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2014-04-16 |
| 1649537598 | Alan J. Fink, M.d., Neurologist, P.a. | Psychiatry & Neurology | 1306 N Broom St, Wilmington, DE 19806-4209 | 2012-04-17 |
| 1649591066 | Alyson Hommel | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2010-06-21 |
| 1063733517 | Karrie Grear | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2010-06-18 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on ALFRED DE MARIA.
| 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.