Delaware Health Equity Coalition

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

DELAWARE HEALTH EQUITY COALITION

Practice address

2100 Baynard Blvd Ste a
Wilmington, DE 19802-3900

Phone

(302) 394-6060

Fax

(302) 397-3340

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Cydney Teal, MDNPI 1346290053

Title

Doctor

Phone

(443) 350-7224

Specialties & licenses 15

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cydney Teal, MD

  • Family Medicine Physician
  • Elkton, MD
  • NPI 1346290053

  DE

  Medicare reassignment Care Compare group NPD Authorized official
• Velma P Scantlebury, MD

  • General Practice Physician
  • Newark, DE
  • NPI 1487608667
  Medicare reassignment Care Compare group NPD
• Teresia Kyusee Kisesewa

  • Medical-Surgical Registered Nurse
  • Wilmington, DE
  • NPI 1538010640

  Single Specialty

  Medicare reassignment NPD
• Karin Madison Wilson, APRN

  • Adult Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1245183680
  Medicare reassignment NPD
• Erik Gumbs

  • Nurse Practitioner
  • Dover, DE
  • NPI 1427693415
  NPD
• Caren Lee Thompson, M.D.

  • General Practice Physician
  • Wilmington, DE
  • NPI 1841358462
  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1043935307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BAYNARD BLVD STE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023900",
            "telephone_number": "302-394-6060",
            "fax_number": "302-397-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BAYNARD BLVD STE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023900",
            "telephone_number": "302-394-6060",
            "fax_number": "302-397-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE HEALTH EQUITY COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "TEAL",
        "authorized_official_first_name": "CYDNEY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "443-350-7224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.delawarehealthequitycoalition.org",
            "affiliation": "N",
            "endpointDescription": "Web Site",
            "address_1": "2100 Baynard Blvd Ste A",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198023900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Delaware Eye Surgeons PA
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• Delaware Injury Center, LLC
• Delaware Injury Clinic, LLC
• Delaware Integrative Healthcare
• Delaware Intrgrative Healthcare

• Adult Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Adult Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.