Individual provider Active NPI

Oliver Schoonmaker Thresher Jr., MD

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1063504264
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0002783 Issued in DE
Practice address
200 Hygeia Dr
Newark, DE 19713-2049
Phone
(302) 273-1701
Fax
(302) 273-4497
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081001000245 MD Practitioner - Family Practice 5092883215 Reassigns benefits to 1 organization
I20121113000150 DE Practitioner - Emergency MedicinePractitioner - Family Practice 5092883215 Reassigns benefits to 2 organizations
I20250328003062 PA Practitioner - Family Practice 5092883215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Oct 19, 2012 Accepting new patients
Medexpress, Inc - Delaware Family Medicine CurrentSince Oct 19, 2012 Accepting new patients
Medexpress, Inc - Delaware Family Medicine Current Accepting new patients
Christiana Care Quality Partners CurrentSince May 10, 2024 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

2722 Concord Pike
Wilmington, DE 19803
Phone (302) 477-1406

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

215 Lancaster Ave
Malvern, PA 19355
Phone (484) 329-6600

510 E Gay St
West Chester, PA 19380
Phone (302) 235-8808

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0033925 MD
Family Medicine Physician 207Q00000X C1-0002783 DE Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Hygeia Dr
Newark, DE 19713-2049

Mailing address

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

Other practice location 1

310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone (443) 485-6213

Other practice location 2

995 Hospitality Way
Aberdeen, MD 21001-1755
Phone (410) 306-7880

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2024.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1063504264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216435",
            "country_code": "US",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "995 Hospitality Way",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "MD",
            "postal_code": "210011755",
            "country_code": "US",
            "telephone_number": "410-306-7880",
            "fax_number": "410-306-7881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THRESHER",
        "first_name": "OLIVER",
        "middle_name": "SCHOONMAKER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0033925",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0002783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.