Organization Active NPI

Cascade Medical Center

  • Urgent Care Clinic/Center
  • Wilmington, DE
National Provider Identifier
1023511268
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5541214845OtherDEBILLING ID

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.