Peninsula United Methodist Homes

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C10002836 Issued in DE

Legal business name

PENINSULA UNITED METHODIST HOMES

Doing business as

Methodist Country House Phys Svcs

Practice address

4830 Kennett Pike
Wilmington, DE 19807-1866

Phone

(302) 235-6066

Fax

(302) 235-6001

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William L. Starcher Jr.

Title

Exec VP/ Chief Financial Officer

Phone

(302) 235-6066

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Methodist Country House Phys Svcs Doing business as

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1053318261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 LOVEVILLE RD",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071515",
            "telephone_number": "302-235-6066",
            "fax_number": "302-235-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 KENNETT PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198071866",
            "telephone_number": "302-235-6066",
            "fax_number": "302-235-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA UNITED METHODIST HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "STARCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXEC VP/ CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "302-235-6066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10002836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN SERVICES",
            "identifier": "51008217W",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Country House Phys Svcs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Ray Pendleton Jr., MD
• Jennifer S. Pendley, PHD
• Scott H. Penfil, MD
• Peninsula Medical Associates, LLC
• Peninsula Medical Group, LLC
• Penna Orthodontics
• Robert A Penna, DMD
• Joseph C Pennington III, M.D.
• Mandy Pennington, MSN, RN
• Megan Pennington

• Internal Medicine Physician in Wilmington, DE
• Providers in Wilmington, 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 Oct 9, 2007; 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.