Active NPI
Cascade Medical Center
- Urgent Care Clinic/Center
- Wilmington, DE
National Provider Identifier
1023511268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CASCADE MEDICAL CENTER
- Practice address
- 1007 N Orange St
Wilmington, DE 19801-1239 - Phone
- (717) 298-3563
- NPI assigned
- Mar 14, 2018
- Last updated
- Mar 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Adam Roth, DO
- Title
- Dr
- Phone
- (717) 298-3563
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary | |
| Orthopaedic Surgery Physician | 207X00000X | 1354863466 | GA |
Addresses
Primary practice location
1007 N Orange St
Wilmington, DE 19801-1239
Mailing address
3005 N Washington St
Wilmington, DE 19802-3141
Other practice location 1
15 Zimmerman Rd
Leola, PA 17540-1949
Phone (717) 298-3563
Other practice location 2
347 S Market St
Elizabethtown, PA 17022-2423
Phone (717) 298-3586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5541214845 | Other | DE | BILLING ID |
National Provider Directory
National Provider DirectoryLocations
347 S Market St
Elizabethtown, PA 17022
Phone (717) 298-3586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521504000000",
"number": "1023511268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 N WASHINGTON ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198023141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 N ORANGE ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011239",
"telephone_number": "717-298-3563"
}
],
"practiceLocations": [
{
"address_1": "15 Zimmerman Rd",
"address_purpose": "LOCATION",
"city": "Leola",
"state": "PA",
"postal_code": "175401949",
"country_code": "US",
"telephone_number": "717-298-3563",
"fax_number": "717-298-3237",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "347 S Market St",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "PA",
"postal_code": "170222423",
"country_code": "US",
"telephone_number": "717-298-3586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CASCADE MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-14",
"last_updated": "2018-03-20",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "ADAM",
"authorized_official_title_or_position": "DR",
"authorized_official_telephone_number": "717-298-3563",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "1354863466",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING ID",
"identifier": "5541214845",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.