| Cchs Interventional Radiology | |
|
501 W 14th St Wilmington DE 19801-1013 | |
| (302) 421-2251 | |
| Not Available |
| Full Name | Cchs Interventional Radiology |
|---|---|
| Speciality | Radiology |
| Location | 501 W 14th St, Wilmington, Delaware |
| Authorized Official Name and Position | Robert W Mcmurray (CFO) |
| Authorized Official Contact | 3024282522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cchs Interventional Radiology 200 Hygeia Drive Christiana Care Health Services Inc Suite 2300 Newark DE 19713-2049 Ph: (302) 623-7362 | Cchs Interventional Radiology 501 W 14th St Wilmington DE 19801-1013 Ph: (302) 421-2251 |
| NPI Number | 1679727028 |
|---|---|
| Provider Enumeration Date | 11/12/2008 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Medicare PECOS PAC ID | 9739097569 |
|---|---|
| Medicare Enrollment ID | O20090306000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679727028 | NPI | - | NPPES |
| Provider Name | Randall W Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811957970 PECOS PAC ID: 7618990060 Enrollment ID: I20060111000781 |
| Provider Name | Barbara V Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053371120 PECOS PAC ID: 7214940246 Enrollment ID: I20060717000150 |
| Provider Name | Barbara J Albani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063572519 PECOS PAC ID: 7214038520 Enrollment ID: I20070730000806 |
| Provider Name | Daniel A Leung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740375690 PECOS PAC ID: 0547240939 Enrollment ID: I20090106000275 |
| Provider Name | George Kimbiris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265491955 PECOS PAC ID: 5395801922 Enrollment ID: I20090306000271 |
| Provider Name | John B Townsend |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982656245 PECOS PAC ID: 6709836471 Enrollment ID: I20090806000113 |
| Provider Name | Erin L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710117460 PECOS PAC ID: 7618017823 Enrollment ID: I20091221000090 |
| Provider Name | Janice E. Nevin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487625117 PECOS PAC ID: 2567521503 Enrollment ID: I20100212000489 |
| Provider Name | Donna Mower-wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922079631 PECOS PAC ID: 3274678073 Enrollment ID: I20100304000442 |
| Provider Name | Jeffrey B Minkovitz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457358889 PECOS PAC ID: 4082710801 Enrollment ID: I20101207000289 |
| Provider Name | Sudhakar R Satti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679773881 PECOS PAC ID: 9537230586 Enrollment ID: I20110113000559 |
| Provider Name | Kevin W. Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609854421 PECOS PAC ID: 5395844146 Enrollment ID: I20110527000314 |
| Provider Name | Deborah M Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124313887 PECOS PAC ID: 2163690264 Enrollment ID: I20110715000196 |
| Provider Name | Gregg Zoarski |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215929948 PECOS PAC ID: 3173536810 Enrollment ID: I20110912000753 |
| Provider Name | Susan L Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114089158 PECOS PAC ID: 6507030863 Enrollment ID: I20111122000845 |
| Provider Name | Tammie L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447515515 PECOS PAC ID: 2466608088 Enrollment ID: I20120814000016 |
| Provider Name | David E Kahn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760643266 PECOS PAC ID: 9739358706 Enrollment ID: I20120906000712 |
| Provider Name | Valerie E Dechant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306022504 PECOS PAC ID: 7315061967 Enrollment ID: I20121009000239 |
| Provider Name | Timothy J Eden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497936652 PECOS PAC ID: 1557511102 Enrollment ID: I20121017000536 |
| Provider Name | Demetrios J Agriantonis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063577005 PECOS PAC ID: 5991955338 Enrollment ID: I20121022000312 |
| Provider Name | Nicole M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750631081 PECOS PAC ID: 1850542143 Enrollment ID: I20121114000337 |
| Provider Name | Rebecca Macintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679812739 PECOS PAC ID: 7517112857 Enrollment ID: I20130312000511 |
| Provider Name | Sharmila S Johnson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1407196447 PECOS PAC ID: 0749426294 Enrollment ID: I20130429000438 |
| Provider Name | Cheryl Lynne B Kitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194083238 PECOS PAC ID: 5698918993 Enrollment ID: I20130906000110 |
| Provider Name | Matthew S Fuchs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043648223 PECOS PAC ID: 6901034701 Enrollment ID: I20140123001588 |
| Provider Name | Richard K Choi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639308067 PECOS PAC ID: 0547486102 Enrollment ID: I20140717001411 |
| Provider Name | Jessica B Steiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639599418 PECOS PAC ID: 9931325446 Enrollment ID: I20140718000735 |
| Provider Name | Christopher J Grilli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134395445 PECOS PAC ID: 7012149867 Enrollment ID: I20140722002011 |
| Provider Name | Thinesh Sivapatham |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942401013 PECOS PAC ID: 9931387297 Enrollment ID: I20141007000950 |
| Provider Name | Kristen Koechert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427454206 PECOS PAC ID: 8022331974 Enrollment ID: I20141229000772 |
| Provider Name | Susan C Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922403914 PECOS PAC ID: 2062737059 Enrollment ID: I20150216000821 |
| Provider Name | Kathryn Hook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184012783 PECOS PAC ID: 7719206150 Enrollment ID: I20150506000450 |
| Provider Name | Dominick B Osipowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508245853 PECOS PAC ID: 5294047965 Enrollment ID: I20150709000336 |
| Provider Name | Mohammed M Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811121858 PECOS PAC ID: 7810128238 Enrollment ID: I20150710001212 |
| Provider Name | Waimei Amy Tai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316149206 PECOS PAC ID: 8729241815 Enrollment ID: I20151020000054 |
| Provider Name | Katelyn N Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093184525 PECOS PAC ID: 4385944784 Enrollment ID: I20151207001934 |
| Provider Name | Samuel Putnam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023066404 PECOS PAC ID: 5991699522 Enrollment ID: I20160120002511 |
| Provider Name | Jenna M Heaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750714283 PECOS PAC ID: 6901101021 Enrollment ID: I20160226000772 |
| Provider Name | Kimberly P Gannon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831482165 PECOS PAC ID: 8527359371 Enrollment ID: I20160624001571 |
| Provider Name | Lauren E Piascinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831547587 PECOS PAC ID: 5698061091 Enrollment ID: I20160912001122 |
| Provider Name | Bernadette E Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811366636 PECOS PAC ID: 2264720309 Enrollment ID: I20161005002283 |
| Provider Name | Julie A Kieliszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831580521 PECOS PAC ID: 1456655000 Enrollment ID: I20170104000290 |
| Provider Name | Margaret Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396293254 PECOS PAC ID: 5799067773 Enrollment ID: I20170127000522 |
| Provider Name | Kimberly Wanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235678087 PECOS PAC ID: 7315223872 Enrollment ID: I20170418000043 |
| Provider Name | Valeria A Pelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801337951 PECOS PAC ID: 7012294051 Enrollment ID: I20170501001268 |
| Provider Name | Assaf Graif |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598051781 PECOS PAC ID: 0345472635 Enrollment ID: I20170713000967 |
| Provider Name | John W Sammon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528598257 PECOS PAC ID: 2365715000 Enrollment ID: I20170831002412 |
| Provider Name | Michael Moussouttas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912907197 PECOS PAC ID: 4284623885 Enrollment ID: I20171117001141 |
| Provider Name | Amy L Parisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053836429 PECOS PAC ID: 5890052476 Enrollment ID: I20171207000504 |
| Provider Name | Jamie Feinour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891200424 PECOS PAC ID: 6800155631 Enrollment ID: I20180123003498 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20180730002185 |
| Provider Name | John W Liang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720387764 PECOS PAC ID: 9335427400 Enrollment ID: I20181217002424 |
| Provider Name | Jennifer Creed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508109430 PECOS PAC ID: 0941579817 Enrollment ID: I20190725000301 |
| Provider Name | Helen Hyejin Paik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851730360 PECOS PAC ID: 4981994605 Enrollment ID: I20190823000676 |
| Provider Name | Shanna Marie Amoroso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730519372 PECOS PAC ID: 9133340904 Enrollment ID: I20190909002501 |
| Provider Name | Angelique Malecek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851982029 PECOS PAC ID: 1658785431 Enrollment ID: I20210208001118 |
| Provider Name | Christelle Chedrawy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265782858 PECOS PAC ID: 2466750211 Enrollment ID: I20210615003109 |
| Provider Name | Christian Kyndel Pedersen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083067755 PECOS PAC ID: 5890074850 Enrollment ID: I20220616001496 |
| Provider Name | Rod Momenian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568845279 PECOS PAC ID: 7012331432 Enrollment ID: I20220818002940 |
| Provider Name | Silvia Barbeito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417474016 PECOS PAC ID: 0749668549 Enrollment ID: I20230620002287 |
| Provider Name | Sara Khanipour Roshan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417483900 PECOS PAC ID: 9830458736 Enrollment ID: I20230628002615 |
| Provider Name | Gaurav Jindal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184773186 PECOS PAC ID: 7315061991 Enrollment ID: I20231118000512 |
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