Dr Mary C Theroux, MD | |
A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | |
(302) 651-4000 | |
(302) 651-4945 |
Full Name | Dr Mary C Theroux |
---|---|
Gender | Female |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | A.i. Dupont Hospital For Children, Wilmington, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750441853 | NPI | - | NPPES |
001217513 | Medicaid | PA | |
Q03285 | Medicaid | SC | |
1437865 | Medicaid | NY | |
5747473 | Medicaid | VA | |
7613677 | Medicaid | NC | |
5032407 | Medicaid | NJ | |
7742614 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C10003285 (Delaware) | Secondary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | C10003285 (Delaware) | Primary |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366594699 PECOS PAC ID: 9537072483 Enrollment ID: O20040422000840 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary C Theroux, MD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Dr Mary C Theroux, MD A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803-3607 Ph: (302) 651-4000 |
Dr. Susmita B. Nesargi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 | |
Dr. Ellen A. Spurrier, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 | |
Dr. David L Blumberg, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2006 Limestone Rd, Suite 5, Wilmington, DE 19808 Phone: 302-995-1860 Fax: 302-995-5421 | |
Dr. Kesavan Sadacharam, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803 Phone: 302-651-4201 Fax: 302-651-4945 | |
Dr. Daniel M Nasr, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3105 Limestone Rd Ste 300, Wilmington, DE 19808 Phone: 844-365-7246 Fax: 844-516-0080 | |
Dr. Deborah Ann Davis, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945 | |
Dr. Manish Purohit, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 |