Go Care At Abby | |
1 Centurian Dr Suite 106 Newark DE 19713-2137 | |
(302) 999-0003 | |
(302) 322-9241 |
Full Name | Go Care At Abby |
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Speciality | Clinic/Center |
Location | 1 Centurian Dr, Newark, Delaware |
Authorized Official Name and Position | Arlen D Stone (GENERAL PARTNER) |
Authorized Official Contact | 3029990003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Go Care At Abby 1 Centurian Dr Newark DE 19713-2137 Ph: (302) 999-0003 | Go Care At Abby 1 Centurian Dr Suite 106 Newark DE 19713-2137 Ph: (302) 999-0003 |
NPI Number | 1750554572 |
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Provider Enumeration Date | 04/13/2008 |
Last Update Date | 04/24/2024 |
Medicare PECOS PAC ID | 8628146396 |
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Medicare Enrollment ID | O20081008000086 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750554572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Marianne T Liles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336207315 PECOS PAC ID: 6002803616 Enrollment ID: I20040505000472 |
Provider Name | Myung Soo Lee |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235115429 PECOS PAC ID: 9032198569 Enrollment ID: I20040717000021 |
Provider Name | David T Vanson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1750354973 PECOS PAC ID: 9335186717 Enrollment ID: I20050418001156 |
Provider Name | Anh Quang Dam |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326007196 PECOS PAC ID: 7911948013 Enrollment ID: I20050519000137 |
Provider Name | Se Ung John Yi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124184973 PECOS PAC ID: 4284732702 Enrollment ID: I20080401000263 |
Provider Name | Michelle Beth Langrehr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427085950 PECOS PAC ID: 6507881745 Enrollment ID: I20080424000779 |
Provider Name | Patricia Juma Munda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053371385 PECOS PAC ID: 7810062684 Enrollment ID: I20080814000122 |
Provider Name | Robert D Winter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932279007 PECOS PAC ID: 4183792864 Enrollment ID: I20081010000088 |
Provider Name | Arlen D Stone |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396703765 PECOS PAC ID: 1557439239 Enrollment ID: I20081010000120 |
Provider Name | Claire A Coggins |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1609970912 PECOS PAC ID: 6608885991 Enrollment ID: I20081211000065 |
Provider Name | Garth A Koniver |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306838529 PECOS PAC ID: 8820178833 Enrollment ID: I20101227000568 |
Provider Name | Michael Leviton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1063404192 PECOS PAC ID: 5092895003 Enrollment ID: I20101227000653 |
Provider Name | Stephen John Lawless |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922090026 PECOS PAC ID: 1557441565 Enrollment ID: I20110107001062 |
Provider Name | Anthony J Scola |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144222043 PECOS PAC ID: 3173603180 Enrollment ID: I20110324000381 |
Provider Name | Wayne S Garraway |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871660845 PECOS PAC ID: 8729264155 Enrollment ID: I20110518000805 |
Provider Name | Jonathan D Rubin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1659317402 PECOS PAC ID: 0941240121 Enrollment ID: I20130731000226 |
Provider Name | Jawaad Mohammed Mohiuddin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1861667990 PECOS PAC ID: 7012146400 Enrollment ID: I20140205000909 |
Provider Name | Neil Gambill |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1609950534 PECOS PAC ID: 6608008453 Enrollment ID: I20140410000996 |
Provider Name | Joanne H Kaster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245287275 PECOS PAC ID: 8527961846 Enrollment ID: I20150309000272 |
Provider Name | Veronica F Wilbur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699755678 PECOS PAC ID: 3476592429 Enrollment ID: I20150414001655 |
Provider Name | Deborah Mcdermott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871141531 PECOS PAC ID: 9537499827 Enrollment ID: I20190930002630 |
Provider Name | Nicole A Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801351564 PECOS PAC ID: 2567793029 Enrollment ID: I20191014003332 |
Provider Name | Edward Libfeld |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1649410416 PECOS PAC ID: 2668502956 Enrollment ID: I20191204000244 |
Provider Name | John Reeder |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932104148 PECOS PAC ID: 7810800018 Enrollment ID: I20200127001595 |
Provider Name | Colleen Buffington |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134122583 PECOS PAC ID: 5597744136 Enrollment ID: I20200207000127 |
Provider Name | Jason Chalifoux |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356786073 PECOS PAC ID: 0749535920 Enrollment ID: I20200424000300 |
Provider Name | Jill Kristin Brooks |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1649382615 PECOS PAC ID: 8820199524 Enrollment ID: I20201001001050 |
Provider Name | Christopher Sidden |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104872837 PECOS PAC ID: 0840298550 Enrollment ID: I20201111000920 |
Provider Name | Keith Tobin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043212897 PECOS PAC ID: 6709880677 Enrollment ID: I20201123001021 |
Provider Name | Stacy Jacobs |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801096078 PECOS PAC ID: 2860585916 Enrollment ID: I20201123001972 |
Provider Name | Gregory E Wilde |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023144177 PECOS PAC ID: 2163547134 Enrollment ID: I20201124001286 |
Provider Name | Karen Fried |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356384911 PECOS PAC ID: 4486637394 Enrollment ID: I20201210000288 |
Provider Name | Hilary Umans |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1437288271 PECOS PAC ID: 1355429853 Enrollment ID: I20201228001566 |
Provider Name | Francisco Delara |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326082801 PECOS PAC ID: 9638073521 Enrollment ID: I20210201000037 |
Provider Name | Peter Q Tang |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932594413 PECOS PAC ID: 7113263237 Enrollment ID: I20210611002650 |
Provider Name | William Louie |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336141183 PECOS PAC ID: 9335155845 Enrollment ID: I20210616003009 |
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