| Bayhealth Physicians | |
|
640 S State St Bldg 742 Dover DE 19901-3530 | |
| (302) 674-3970 | |
| (302) 372-2350 |
| Full Name | Bayhealth Physicians |
|---|---|
| Speciality | Colon & Rectal Surgery |
| Location | 640 S State St Bldg 742, Dover, Delaware |
| Authorized Official Name and Position | Gary Siegelman (SENIOR VP/CMO) |
| Authorized Official Contact | 3026743970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayhealth Physicians Po Box 822639 Philadelphia PA 19182-2639 Ph: (302) 674-3970 | Bayhealth Physicians 640 S State St Bldg 742 Dover DE 19901-3530 Ph: (302) 674-3970 |
| NPI Number | 1285809509 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 05/05/2015 |
| Medicare PECOS PAC ID | 1658364740 |
|---|---|
| Medicare Enrollment ID | O20081010000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285809509 | NPI | - | NPPES |
| Provider Name | Edwin M Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598732224 PECOS PAC ID: 9537062237 Enrollment ID: I20040129001125 |
| Provider Name | Pedro J, Perez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679540256 PECOS PAC ID: 7810890530 Enrollment ID: I20040129001250 |
| Provider Name | John W Shuck |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689641086 PECOS PAC ID: 8325038466 Enrollment ID: I20040512001279 |
| Provider Name | Carrie S Keane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942205265 PECOS PAC ID: 8820054844 Enrollment ID: I20041201001029 |
| Provider Name | Lisa Rogers Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851357057 PECOS PAC ID: 7810947918 Enrollment ID: I20050126000885 |
| Provider Name | Bhavin R Dave |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144202300 PECOS PAC ID: 1456306083 Enrollment ID: I20050316001078 |
| Provider Name | Francisco J Rodriguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942297890 PECOS PAC ID: 1052395084 Enrollment ID: I20050405000558 |
| Provider Name | Vincent G Lobo |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1376587576 PECOS PAC ID: 6103864244 Enrollment ID: I20050420000335 |
| Provider Name | Andrew E Nash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326158791 PECOS PAC ID: 9739116922 Enrollment ID: I20050719001136 |
| Provider Name | Edward L Alexander Iii |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386638807 PECOS PAC ID: 9234140526 Enrollment ID: I20060530000117 |
| Provider Name | Judith A Rippert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871563114 PECOS PAC ID: 5991797953 Enrollment ID: I20060817000448 |
| Provider Name | Vincent Abbrescia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821077462 PECOS PAC ID: 9234132960 Enrollment ID: I20060817000459 |
| Provider Name | Roberto Scaffidi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760411698 PECOS PAC ID: 3375548076 Enrollment ID: I20061003000126 |
| Provider Name | Karen J Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568415909 PECOS PAC ID: 0547268583 Enrollment ID: I20061129000275 |
| Provider Name | Kiijuana L Cann |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528154085 PECOS PAC ID: 0042312092 Enrollment ID: I20070222000540 |
| Provider Name | Stacy A Sanders |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003900432 PECOS PAC ID: 3173620358 Enrollment ID: I20070523000191 |
| Provider Name | Laeeq Ahmer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639158280 PECOS PAC ID: 8123114634 Enrollment ID: I20071015000226 |
| Provider Name | Bryan Patrick D Villar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700900560 PECOS PAC ID: 2365530516 Enrollment ID: I20071129000501 |
| Provider Name | Joseph M Parise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134114580 PECOS PAC ID: 4284700121 Enrollment ID: I20080829000243 |
| Provider Name | Colleen P Allorto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740307297 PECOS PAC ID: 4981772993 Enrollment ID: I20081003000559 |
| Provider Name | Preeti Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760447601 PECOS PAC ID: 4587697321 Enrollment ID: I20081112000763 |
| Provider Name | Garrett H.c. Colmorgen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073590287 PECOS PAC ID: 2668538851 Enrollment ID: I20090313000364 |
| Provider Name | Joseph M Deutsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568596039 PECOS PAC ID: 2365595543 Enrollment ID: I20090805000655 |
| Provider Name | Sanjeev B Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154583243 PECOS PAC ID: 9436204476 Enrollment ID: I20090827000375 |
| Provider Name | Miaohou Xu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912113127 PECOS PAC ID: 6305992587 Enrollment ID: I20090914000684 |
| Provider Name | John J Fink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275683310 PECOS PAC ID: 3678629516 Enrollment ID: I20090918000144 |
| Provider Name | Patience A Ankomah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629193867 PECOS PAC ID: 7214083708 Enrollment ID: I20090924000634 |
| Provider Name | Mark-anthony C Umobi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649475666 PECOS PAC ID: 6305992629 Enrollment ID: I20090928000615 |
| Provider Name | Cynthia G Zarraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518039825 PECOS PAC ID: 5496702458 Enrollment ID: I20100310000428 |
| Provider Name | Antonio D Zarraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013095587 PECOS PAC ID: 2860449824 Enrollment ID: I20100310000446 |
| Provider Name | Antoinette M Ptak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396748943 PECOS PAC ID: 4385542372 Enrollment ID: I20100319000025 |
| Provider Name | David Ramos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770550360 PECOS PAC ID: 6507994902 Enrollment ID: I20100505000690 |
| Provider Name | Raymond E Miller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205802188 PECOS PAC ID: 0446318976 Enrollment ID: I20100525000657 |
| Provider Name | Harjinder Grewal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699742585 PECOS PAC ID: 4981704764 Enrollment ID: I20100629000909 |
| Provider Name | David John Cloney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487651295 PECOS PAC ID: 6002896024 Enrollment ID: I20100928000316 |
| Provider Name | Guy Mitchell Edmondson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871577288 PECOS PAC ID: 1153222336 Enrollment ID: I20110315000061 |
| Provider Name | Laura B Moylan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063496735 PECOS PAC ID: 8820152614 Enrollment ID: I20110413000894 |
| Provider Name | Darshdeep Ishu Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639334683 PECOS PAC ID: 5496925380 Enrollment ID: I20110901000363 |
| Provider Name | Assar Ahmed Rather |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174834097 PECOS PAC ID: 4587835251 Enrollment ID: I20110929000399 |
| Provider Name | Thomas F Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760665889 PECOS PAC ID: 4284775883 Enrollment ID: I20111101000485 |
| Provider Name | Matthew R Reetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306028048 PECOS PAC ID: 4486708807 Enrollment ID: I20111123000056 |
| Provider Name | Michelle D Pelton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801163332 PECOS PAC ID: 7214199777 Enrollment ID: I20120427000571 |
| Provider Name | Albert H French |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1003924937 PECOS PAC ID: 9739345794 Enrollment ID: I20120720000057 |
| Provider Name | Zulehuma Rather |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386966083 PECOS PAC ID: 1153576087 Enrollment ID: I20130227000058 |
| Provider Name | Christie L Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275546483 PECOS PAC ID: 3577757020 Enrollment ID: I20130304000405 |
| Provider Name | Adrianne Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447694393 PECOS PAC ID: 9335388701 Enrollment ID: I20130614000259 |
| Provider Name | Lindsay Dormer Robinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669714838 PECOS PAC ID: 5294975645 Enrollment ID: I20130708000228 |
| Provider Name | Tadele W Desalew |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528226719 PECOS PAC ID: 4789836644 Enrollment ID: I20131202000121 |
| Provider Name | Maryam Awan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932387578 PECOS PAC ID: 8820164197 Enrollment ID: I20140221000197 |
| Provider Name | Paul K Pulchny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992098412 PECOS PAC ID: 5698928588 Enrollment ID: I20140812000134 |
| Provider Name | Catherine A Wright |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194938142 PECOS PAC ID: 5698820330 Enrollment ID: I20140819000926 |
| Provider Name | Roshan D Prabhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568899474 PECOS PAC ID: 3870711542 Enrollment ID: I20140822000529 |
| Provider Name | Michael P Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902917610 PECOS PAC ID: 2466481783 Enrollment ID: I20140917001019 |
| Provider Name | Olubusola Ogunlade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194046375 PECOS PAC ID: 7416176441 Enrollment ID: I20140924000188 |
| Provider Name | Craig A Laing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629343108 PECOS PAC ID: 0143441253 Enrollment ID: I20141014001714 |
| Provider Name | Lisa M Rossi Mccalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568805604 PECOS PAC ID: 4385964683 Enrollment ID: I20150528001670 |
| Provider Name | Radu Nedelcoviciu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700034766 PECOS PAC ID: 8325350010 Enrollment ID: I20150709000836 |
| Provider Name | Christos G Hatjis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821021825 PECOS PAC ID: 9830182153 Enrollment ID: I20150730010648 |
| Provider Name | Wendy L Surguy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457736985 PECOS PAC ID: 0749596088 Enrollment ID: I20150901000773 |
| Provider Name | Tracey P Grim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447282116 PECOS PAC ID: 3678503679 Enrollment ID: I20151124001927 |
| Provider Name | Christina Marie Sykes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477950319 PECOS PAC ID: 2567767890 Enrollment ID: I20160225000316 |
| Provider Name | Alisha Mary Banas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730540808 PECOS PAC ID: 5890093652 Enrollment ID: I20160411001606 |
| Provider Name | Meghan Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689033631 PECOS PAC ID: 9537459763 Enrollment ID: I20160601000045 |
| Provider Name | Erika L Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952723454 PECOS PAC ID: 7113201047 Enrollment ID: I20170221001477 |
| Provider Name | Jonathan Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245648138 PECOS PAC ID: 0749409027 Enrollment ID: I20171109001632 |
| Provider Name | Melisa Marie Edler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952720005 PECOS PAC ID: 0941528251 Enrollment ID: I20180626000183 |
| Provider Name | Mussaber Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417111063 PECOS PAC ID: 5890831390 Enrollment ID: I20180627003026 |
| Provider Name | Manjeet Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205122595 PECOS PAC ID: 2860635075 Enrollment ID: I20180717002390 |
| Provider Name | Andrew Joseph Gambone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477843050 PECOS PAC ID: 6800029125 Enrollment ID: I20180727002316 |
| Provider Name | John Robert Burger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194089912 PECOS PAC ID: 4789955212 Enrollment ID: I20180827002487 |
| Provider Name | Nicole E Steinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275071102 PECOS PAC ID: 5395021869 Enrollment ID: I20181011001223 |
| Provider Name | Holly Kay Walton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043794175 PECOS PAC ID: 2961746995 Enrollment ID: I20181203001572 |
| Provider Name | Lisa Ann Butterworth |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275805459 PECOS PAC ID: 4981868692 Enrollment ID: I20190125001475 |
| Provider Name | Jessica Marie Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578037784 PECOS PAC ID: 3577803345 Enrollment ID: I20190314002144 |
| Provider Name | George W L Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295292019 PECOS PAC ID: 8729329024 Enrollment ID: I20190415002886 |
| Provider Name | Brintha F Vasagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780926188 PECOS PAC ID: 5991939613 Enrollment ID: I20190603002966 |
| Provider Name | Shailly Saini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962865865 PECOS PAC ID: 7517251440 Enrollment ID: I20190611001223 |
| Provider Name | Vineet Satish Gudsoorkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396005120 PECOS PAC ID: 8022342401 Enrollment ID: I20190619002420 |
| Provider Name | Andrew G Park |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013350016 PECOS PAC ID: 2769615186 Enrollment ID: I20190715001961 |
| Provider Name | David W Roberson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447221015 PECOS PAC ID: 8729023486 Enrollment ID: I20190719000797 |
| Provider Name | Olivia Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285094532 PECOS PAC ID: 8921345968 Enrollment ID: I20190723000645 |
| Provider Name | Amita Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700231867 PECOS PAC ID: 5799011425 Enrollment ID: I20190801002055 |
| Provider Name | Shruti Bhupendra Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558616755 PECOS PAC ID: 1850638156 Enrollment ID: I20190807001856 |
| Provider Name | Amanda Watson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962056119 PECOS PAC ID: 4385973932 Enrollment ID: I20190909000676 |
| Provider Name | Charles N. Frasso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992146989 PECOS PAC ID: 0042642217 Enrollment ID: I20191111000726 |
| Provider Name | Mable Tsui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831578517 PECOS PAC ID: 6002107554 Enrollment ID: I20200106000128 |
| Provider Name | Terrence C Tsui |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700264009 PECOS PAC ID: 6103174479 Enrollment ID: I20200109002097 |
| Provider Name | Natasha Olivia Rene Wynn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659928976 PECOS PAC ID: 8628406576 Enrollment ID: I20200309000340 |
| Provider Name | Tricia L Delnay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134302235 PECOS PAC ID: 9234264458 Enrollment ID: I20200325000003 |
| Provider Name | Robert James Rolfes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306864764 PECOS PAC ID: 7214007814 Enrollment ID: I20200522001601 |
| Provider Name | Dimitrios Moustakas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982131173 PECOS PAC ID: 8426472770 Enrollment ID: I20200721000861 |
| Provider Name | Taqdees Afreen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184903627 PECOS PAC ID: 2860816519 Enrollment ID: I20200728001622 |
| Provider Name | Assem Mamayeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073044103 PECOS PAC ID: 8022433721 Enrollment ID: I20200728003612 |
| Provider Name | Theodoros Katsichtis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275875528 PECOS PAC ID: 5799925038 Enrollment ID: I20200729003287 |
| Provider Name | Waseem Butt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346304847 PECOS PAC ID: 8628173218 Enrollment ID: I20200807001087 |
| Provider Name | Jonathan Sarik |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013207117 PECOS PAC ID: 4486878865 Enrollment ID: I20200810003674 |
| Provider Name | Kandis Kimberly Samuels-leutzinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285165811 PECOS PAC ID: 0840569364 Enrollment ID: I20200818001431 |
| Provider Name | Rohin S Saroya |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1639529530 PECOS PAC ID: 4082042676 Enrollment ID: I20200819001701 |
| Provider Name | Adaobi M Enekwizu-anadu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093111288 PECOS PAC ID: 6800216219 Enrollment ID: I20201022002837 |
| Provider Name | Francis Joseph Velez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720024722 PECOS PAC ID: 8628051182 Enrollment ID: I20201124000658 |
| Provider Name | Roseann Patricia Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831103977 PECOS PAC ID: 5294807491 Enrollment ID: I20210111001843 |
| Provider Name | Bradford Kent Mitchell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679667091 PECOS PAC ID: 0840329983 Enrollment ID: I20210112000014 |
| Provider Name | Lei Lei Min |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215342340 PECOS PAC ID: 3870830490 Enrollment ID: I20210115000132 |
| Provider Name | Francis Lim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003236415 PECOS PAC ID: 7810261369 Enrollment ID: I20210125000223 |
| Provider Name | Carole Ann Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184217432 PECOS PAC ID: 6204242522 Enrollment ID: I20210311002338 |
| Provider Name | Roni Lorraine Dermo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285163956 PECOS PAC ID: 3072922392 Enrollment ID: I20210517001391 |
| Provider Name | Ejaz Mahmood |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366895500 PECOS PAC ID: 3779983135 Enrollment ID: I20210607003018 |
| Provider Name | Muhammad Zaid Hanafi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336521350 PECOS PAC ID: 1052711330 Enrollment ID: I20210608000925 |
| Provider Name | Ben Hur Aguilar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740475649 PECOS PAC ID: 2466534631 Enrollment ID: I20210608001573 |
| Provider Name | Michal Bartel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902036783 PECOS PAC ID: 3870744246 Enrollment ID: I20210609001968 |
| Provider Name | Laurianne Haynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184101115 PECOS PAC ID: 1355746132 Enrollment ID: I20210817000792 |
| Provider Name | Meliseanna Katerina Elizabeth Gibbons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124511167 PECOS PAC ID: 6204232945 Enrollment ID: I20210907000370 |
| Provider Name | Michelle R Devern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598435042 PECOS PAC ID: 6709284912 Enrollment ID: I20211001001086 |
| Provider Name | Sarah Neely-collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437403300 PECOS PAC ID: 9436300563 Enrollment ID: I20211108000262 |
| Provider Name | Lawrence D Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871532507 PECOS PAC ID: 7618980533 Enrollment ID: I20211109000789 |
| Provider Name | Matthew Paul Debo |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285095265 PECOS PAC ID: 6002103165 Enrollment ID: I20220106000441 |
| Provider Name | Fei Lian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699169169 PECOS PAC ID: 5991040677 Enrollment ID: I20220317000138 |
| Provider Name | Anthony Vasselli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578559845 PECOS PAC ID: 7214116987 Enrollment ID: I20220412002667 |
| Provider Name | Reiesha Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699017152 PECOS PAC ID: 4385900398 Enrollment ID: I20220606002032 |
| Provider Name | Jazab Sheikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043655186 PECOS PAC ID: 8820232705 Enrollment ID: I20220608001688 |
| Provider Name | Troy Sukhu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508276734 PECOS PAC ID: 8224252812 Enrollment ID: I20220709000617 |
| Provider Name | Kyla Gaye Pinnock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376106948 PECOS PAC ID: 8426430216 Enrollment ID: I20220726001778 |
| Provider Name | Abhishek Agnihotri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174906622 PECOS PAC ID: 5698088565 Enrollment ID: I20220726002293 |
| Provider Name | Svetlana Polishchuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811549975 PECOS PAC ID: 4486036985 Enrollment ID: I20220730000476 |
| Provider Name | Lilia Gutierrez Villarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265086649 PECOS PAC ID: 6800278151 Enrollment ID: I20220802003707 |
| Provider Name | Hira Shakeel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861922361 PECOS PAC ID: 8426328949 Enrollment ID: I20220812002477 |
| Provider Name | Michael Diclemente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639160088 PECOS PAC ID: 7719063932 Enrollment ID: I20220826000902 |
| Provider Name | Hajira Amir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295256790 PECOS PAC ID: 1355685991 Enrollment ID: I20221006002465 |
| Provider Name | Brook Anderson Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568842037 PECOS PAC ID: 4486020450 Enrollment ID: I20221017000106 |
| Provider Name | Henry M Degroot |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710958723 PECOS PAC ID: 3971539693 Enrollment ID: I20221102000023 |
| Provider Name | Christina Lynch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902543051 PECOS PAC ID: 0042687733 Enrollment ID: I20221109002574 |
| Provider Name | Saranya Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124460209 PECOS PAC ID: 3375958945 Enrollment ID: I20221205000562 |
| Provider Name | Raymond A Bologna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447226337 PECOS PAC ID: 7214820190 Enrollment ID: I20221207000188 |
| Provider Name | Theresa A Piper |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558009779 PECOS PAC ID: 4688043755 Enrollment ID: I20221212002413 |
| Provider Name | Syed Nazeer Mahmood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386026748 PECOS PAC ID: 5597137471 Enrollment ID: I20230203000100 |
| Provider Name | Krishnaraj Mahendraraj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295093946 PECOS PAC ID: 2365859733 Enrollment ID: I20230207001874 |
| Provider Name | Kamishia Latasha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003241308 PECOS PAC ID: 7113241571 Enrollment ID: I20230505001183 |
| Provider Name | Lori B Hudson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104908615 PECOS PAC ID: 7911907969 Enrollment ID: I20230523003189 |
| Provider Name | Rabab Nasim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144740309 PECOS PAC ID: 3476827130 Enrollment ID: I20230629001073 |
| Provider Name | Bilal S Bangash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265967343 PECOS PAC ID: 6901140938 Enrollment ID: I20230724000151 |
| Provider Name | Pouran Alizadeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831579085 PECOS PAC ID: 6103133715 Enrollment ID: I20230724002412 |
| Provider Name | Rafael Eduardo Ruiz Gaviria |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679067334 PECOS PAC ID: 0749641660 Enrollment ID: I20230725002038 |
| Provider Name | Abdul Muhaymin Siyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033649538 PECOS PAC ID: 1951671833 Enrollment ID: I20230810001672 |
| Provider Name | Vennisvasanth Lourdusamy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871973529 PECOS PAC ID: 6608177498 Enrollment ID: I20230815000603 |
| Provider Name | John Mitchell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467456921 PECOS PAC ID: 2961468327 Enrollment ID: I20230817001037 |
| Provider Name | Molly M Bernish |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578064879 PECOS PAC ID: 3173886199 Enrollment ID: I20230912000796 |
| Provider Name | Lauren M Parmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558650044 PECOS PAC ID: 4880812353 Enrollment ID: I20231005000019 |
| Provider Name | Nasiha Ahmad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821050071 PECOS PAC ID: 2860713179 Enrollment ID: I20231006000450 |
| Provider Name | Jenilee Jaquez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265117915 PECOS PAC ID: 4587019815 Enrollment ID: I20231006000468 |
| Provider Name | Rebekah A Kroeger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942692132 PECOS PAC ID: 7113239989 Enrollment ID: I20231021000486 |
| Provider Name | Gabriel Ionescu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750315628 PECOS PAC ID: 9133126485 Enrollment ID: I20231109002694 |
| Provider Name | Giath Osman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689764532 PECOS PAC ID: 2860594165 Enrollment ID: I20231120003535 |
| Provider Name | Margaret M Pisano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649564808 PECOS PAC ID: 0749646230 Enrollment ID: I20231206002992 |
| Provider Name | Teneshia Winder |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972955391 PECOS PAC ID: 3173971397 Enrollment ID: I20231222002654 |
| Provider Name | Sharmila S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407196447 PECOS PAC ID: 0749426294 Enrollment ID: I20231227001995 |
| Provider Name | Tristen Holloway |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902445760 PECOS PAC ID: 7719309483 Enrollment ID: I20240219000795 |
| Provider Name | George Papacostas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215912944 PECOS PAC ID: 5092786087 Enrollment ID: I20240226001475 |
| Provider Name | Sunny Granger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215445572 PECOS PAC ID: 4486917028 Enrollment ID: I20240227002305 |
| Provider Name | Todd Sterling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982699849 PECOS PAC ID: 7012137060 Enrollment ID: I20240301000007 |
| Provider Name | Paul Allen Schwiger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801876826 PECOS PAC ID: 7618092180 Enrollment ID: I20240325000279 |
| Provider Name | Robin Lee Etter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740736297 PECOS PAC ID: 3870880818 Enrollment ID: I20240326001187 |
| Provider Name | Debra Larkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912900051 PECOS PAC ID: 8820036684 Enrollment ID: I20240326001475 |
| Provider Name | Divyesh Nemakayala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255781217 PECOS PAC ID: 3779812144 Enrollment ID: I20240424004101 |
| Provider Name | Urenna J Acholonu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669730941 PECOS PAC ID: 4587927918 Enrollment ID: I20240516000092 |
| Provider Name | Anirudha Goparaju |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679916456 PECOS PAC ID: 1052661428 Enrollment ID: I20240529003885 |
Middletown Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4849 Fax: 302-739-6627 | |
Northeast Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
Kent Epsdt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
Natwarlal V Ramani Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 742 S Governors Ave, Suite 3, Dover, DE 19904 Phone: 302-678-5008 Fax: 302-678-5505 | |
Lee Dennis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 Forest St, Dover, DE 19904 Phone: 302-735-1888 | |
Dph Seaford Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 | |
Cdw South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Federal St, Dover, DE 19901 Phone: 302-744-4548 Fax: 302-739-1613 |