Mid Atlantic Woundspecialists, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C2-0004610 Issued in DE

Legal business name

MID ATLANTIC WOUNDSPECIALISTS, LLC

Practice address

13 Signal Hill Dr
Hockessin, DE 19707-1416

Phone

(302) 234-6530

Fax

(302) 234-6530

NPI assigned

Apr 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rodney P Donham, D.O.

Title

Partner

Phone

(302) 234-6530

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1033435151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 UPPER PIKE CREEK RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115955",
            "telephone_number": "302-234-6530",
            "fax_number": "302-234-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SIGNAL HILL DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071416",
            "telephone_number": "302-234-6530",
            "fax_number": "302-234-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC WOUNDSPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "DONHAM",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "302-234-6530",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C2-0004610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.