OTTO RAUL MEDINILLA SR MD (NPI# 1780854596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780854596 |
| Entity Type | Organization |
| Organization Name | OTTO RAUL MEDINILLA SR MD |
| Other Organization Name | OTTO R MEDINILLA MD FACS |
| Practice Address |
110 Weldin Park Dr Wilmington DE 19803-4710 |
| Practice Telephone | 3027648693 |
| Practice Fax Number | 3027648693 |
| Mailing Telephone | 3027648693 |
| Mailing Fax Number | 3027648693 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2011-12-27 |
| Authorized Official Name | OTTO RAUL MEDINILLA SR. (OWNER) |
| Authorized Official Telephone | 3027648693 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | C10001897 | DE | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Otto R Medinilla MD FACS | Other Name - Individual/Organization |
| Street Address |
110 WELDIN PARK DR |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803-4710 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205068186 | Jeffrey S Beecher | Neurological Surgery | 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 | 2009-08-11 |
| 1205902509 | Otto Raul Medinilla Sr. | Neurological Surgery | 410 Foulk Road, Suite 101 Lombardy Center, Wilmington, DE 19803 | 2006-11-28 |
| 1447358338 | Neurosurgery Associates, P.a. | Neurological Surgery | 1306 N Broom St, Wilmington, DE 19806-4209 | 2006-09-21 |
| 1780835769 | John Alexander Thomas | Neurological Surgery | 2208 S 17th St, Suite 201, Wilmington, NC 28401-7593 | 2008-10-08 |
| 1336283795 | Adam Pullan Brown | Neurological Surgery | 2800 Ashton Dr Ste 200, Wilmington, NC 28412-2486 | 2007-02-19 |
| 1386787174 | Thomas Eric Melin | Neurological Surgery | 2800 Ashton Dr, Suite 200, Wilmington, NC 28412-2575 | 2007-02-14 |
| 1457442725 | Jeffrey W. Campbell | Neurological Surgery | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-28 |
| 1942308895 | Coastal Neurosurgical Asssociates and Spine Center Pa | Neurological Surgery | 2800 Ashton Dr, Suite 200, Wilmington, NC 28412 | 2006-09-21 |
| 1124048194 | James J. Evans | Neurological Surgery | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2006-07-20 |
| 1225055221 | Ashwini D. Sharan | Neurological Surgery | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2006-07-16 |
| Find all providers in WILMINGTON | ||||
| 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.