MICHAEL THOMAS FAVARA (NPI# 1922441872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922441872 |
| Entity Type | Individual |
| Full Name | MICHAEL THOMAS FAVARA |
| Credential | D.O. |
| Practice Address |
4745 Ogletown Stanton Rd Ste 217 Newark DE 19713 |
| Mailing Address |
200 Hygeia Dr Ste 2300 Newark DE 19713-2049 |
| Practice Telephone | 3027332410 |
| Practice Fax Number | 3027332602 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
C2-0013057 | DE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Rockland Rd, Suite 2b80, Wilmington, DE 198033607 | 3026515874 |
| Street Address |
4745 OGLETOWN STANTON RD STE 217 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154521383 | Ursula Guillen | Pediatrics | 4745 Ogletown Stanton Rd Ste 217, Newark, DE 19713-2074 | 2007-07-25 |
| 1679170161 | Angeliki Anna Callis | Physician Assistant | 4745 Ogletown Stanton Rd Ste 217, Newark, DE 19713-2074 | 2020-10-07 |
| 1124662267 | Rachel Lauren Doherty | Registered Nurse | 4745 Ogletown Stanton Rd Ste 217, Newark, DE 19713-2074 | 2019-11-01 |
| 1225689516 | Christi Scordia | Physician Assistant | 4745 Ogletown Stanton Rd Ste 217, Newark, DE 19713-2074 | 2019-09-27 |
| 1972154730 | Stephanie Ann Schmidt | Physician Assistant | 4745 Ogletown Stanton Rd Ste 217, Newark, DE 19713-2074 | 2019-09-24 |
| 1801315965 | Tracy A. Bell | Registered Nurse | 4745 Ogletown Stanton Rd Ste 217, Newark, DE 19713-2074 | 2017-09-11 |
| 1184960924 | Christiana Care Health Services Inc | Pediatrics | 4745 Ogletown Stanton Rd Ste 217, Newark, DE 19713-2074 | 2012-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154521383 | Ursula Guillen | Pediatrics | 4745 Ogletown Stanton Rd Ste 217, Newark, DE 19713-2074 | 2007-07-25 |
| 1366579807 | Kelly Zook | Pediatrics | Christiana Care Health System, Department of Neonatology, Newark, DE 19718-0001 | 2007-02-28 |
| 1255691937 | Christine Yankowski | Pediatrics | 4745 Ogletown-stanton Rd, Map 1, Suite 217, Newark, DE 19713 | 2012-05-29 |
| 1669731147 | Eleanor Hipolito Calma | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2012-05-03 |
| 1023381662 | Alexander Feldman | Pediatrics | 185 S Orange Ave, Newark, NJ 07103-2757 | 2012-02-13 |
| 1154572212 | Nbimc Neonatal Associates | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2008-10-08 |
| 1124293329 | Joie Fisher | Pediatrics | 201 Lyons Ave, Department of Neonatology, Newark, NJ 07112-2027 | 2008-04-28 |
| 1962692376 | Vasudha Tulsyan | Pediatrics | 201 Lyons Ave, Department of Neonatology, Newark, NJ 07112-2027 | 2007-08-01 |
| 1467589903 | Christopher T. Hsu | Pediatrics | 4745 Ogletown Stanton Rd, Suite 217, Map I, Newark, DE 19713-2067 | 2007-02-28 |
| 1851458210 | Arminia T Zarzuela | Pediatrics | 495 N 13th Street, Columbus Hospital, Newark, NJ 07107 | 2007-01-03 |
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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.