Christiana Care Pennsylvania Inc
Organization Active NPI Family Medicine Physician · Chadds Ford, PA
NPI 1013757293 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1013757293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CHRISTIANA CARE PENNSYLVANIA INC
- Practice address
- 161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041 - Phone
- (610) 361-1060
- NPI assigned
- May 28, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- CHRISTIANA CARE PENNSYLVANIA INC
Authorized official
- Name
- Robert W McMurray IX
- Title
- Cfo
- Phone
- (302) 623-7362
Other NPIs on the same Medicare enrollment 14
Practitioners 17
-
Wei Bin, M.D.
-
Rachel W. Heinle, MD
-
Heather Penny, PA-C
-
Anna Tong, MD
-
Clive Alun Williams, CRNP
-
Laura Wasylenko Bancroft, M.D.
-
Robin A Horn, M.D.
-
Narpinder Kaur Malhi, M.D.
-
Emily C Mignogna, PA
-
Simukayi Mutasa, M.D.
-
Vanessa Patel, M.D.
-
Julia L Powell, MD
-
Karen B Rohrer, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240918002420 | PA | Part B Supplier - Clinic/Group Practice | 8921549973 |
Receives reassigned benefits from 217 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kennett Square, PA; West Grove, PA; Media, PA; Havertown, PA; Glen Mills, PA; Chadds Ford, PA; Broomall, PA |
National Provider Directory
- Part of
- Christiana Care Pennsylvania Inc
Locations
721 E Baltimore Pike
Ste 100
Kennett Square, PA 19348
Phone (610) 765-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Pediatrics Physician |
208000000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041
Mailing address
4000 Nexus Dr Ste E3
Wilmington, DE 19803-3000
Other practice location 1
721 E Baltimore Pike Ste 100
Kennett Square, PA 19348-2405
Phone (610) 765-4200
Other practice location 2
900 W Baltimore Pike Ste 200
West Grove, PA 19390-9313
Phone (610) 869-4627
Other practice location 3
390 Vineyard Way Ste 501
West Grove, PA 19390-8836
Phone (610) 869-0953
Other names
- CCHS Primary Care Practice PA
Other providers in Chadds Ford, PA
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Health Services Inc
- Christiana Care Pennsylvania Inc
- Christiana Care Pennsylvania Inc
- Christiana Care Pennsylvania Inc
- Christiana Care Pennsylvania Inc
- Christiana Care Pennsylvania Inc
- Christiana Care Pennsylvania Inc
All providers in Chadds Ford, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.