Progressive Health Of Delaware | |
3411 Silverside Rd Ste 100 Wilmington DE 19810-4811 | |
(302) 543-5454 | |
(302) 327-4200 |
Full Name | Progressive Health Of Delaware |
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Speciality | Internal Medicine |
Location | 3411 Silverside Rd Ste 100, Wilmington, Delaware |
Authorized Official Name and Position | Tamara Hernandez (OFFICE MANAGER) |
Authorized Official Contact | 3025435454 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Progressive Health Of Delaware 3411 Silverside Rd Ste 100 Wilmington DE 19810-4811 Ph: (302) 543-5454 | Progressive Health Of Delaware 3411 Silverside Rd Ste 100 Wilmington DE 19810-4811 Ph: (302) 543-5454 |
NPI Number | 1750552535 |
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Provider Enumeration Date | 03/19/2008 |
Last Update Date | 03/24/2023 |
Medicare PECOS PAC ID | 5597807008 |
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Medicare Enrollment ID | O20100121000654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750552535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | David P Donohue |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437112182 PECOS PAC ID: 9335199041 Enrollment ID: I20050202000296 |
Provider Name | Jayshree Tailor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659315976 PECOS PAC ID: 2860447927 Enrollment ID: I20060921000502 |
Provider Name | William B Funk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598796286 PECOS PAC ID: 9335225473 Enrollment ID: I20080328000635 |
Provider Name | Margaret M Corrigan Massey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780682716 PECOS PAC ID: 6608925300 Enrollment ID: I20090529000351 |
Provider Name | Jessica M Casale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942533427 PECOS PAC ID: 9436291077 Enrollment ID: I20100121000015 |
Provider Name | Deborah T Zarek |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619930708 PECOS PAC ID: 2163564667 Enrollment ID: I20100121000639 |
Provider Name | Anne Nelson Walton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902834997 PECOS PAC ID: 0042409179 Enrollment ID: I20110105000785 |
Provider Name | Ronda Broady |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1558381012 PECOS PAC ID: 0345303020 Enrollment ID: I20120821000173 |
Provider Name | Karen L Smith |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1033371182 PECOS PAC ID: 9537464912 Enrollment ID: I20171024002605 |
Provider Name | Adelle L Trout |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407344476 PECOS PAC ID: 7416212451 Enrollment ID: I20180523000155 |
Provider Name | Cassandra Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831612597 PECOS PAC ID: 6002177979 Enrollment ID: I20180919001420 |
Provider Name | Kelsey Doyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194293399 PECOS PAC ID: 0244579902 Enrollment ID: I20190225002679 |
Provider Name | Jessica Fink |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558077792 PECOS PAC ID: 9032582853 Enrollment ID: I20230227000556 |
Provider Name | Stephanie Farmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427356823 PECOS PAC ID: 6305021239 Enrollment ID: I20230316000964 |
Provider Name | Suzie Long |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962405589 PECOS PAC ID: 5698720092 Enrollment ID: I20230926002007 |
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