MGM-Medical Goals Management

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MGM-MEDICAL GOALS MANAGEMENT

Practice address

1732A Marsh Rd Ste 216
Wilmington, DE 19810-4606

Phone

(610) 405-1292

NPI assigned

Oct 3, 2021

Last updated

Apr 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gwendolyn Sumter-Davis, CRNP

Title

Ceo

Phone

(610) 405-1292

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650153600000",
    "number": "1073285581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732A MARSH RD STE 216",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104606",
            "telephone_number": "610-405-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732A MARSH RD STE 216",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104606",
            "telephone_number": "610-405-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM-MEDICAL GOALS MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-03",
        "last_updated": "2022-04-17",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "SUMTER-DAVIS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-405-1292",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "Y",
            "endpointDescription": "business  laptop",
            "affiliationName": "MGM-Medical Goals Management",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1732A Marsh Rd Ste 216",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198104606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin E. Meyer, MD
• Marisa Lyn Meyer, DO
• Theresa M Meyer, LMT
• Jeffery Saul Meyers, MD
• Mfysl LLC
• Christiane Mhanna, DO
• Noah Miccio
• Margaret R. Miccolis, APN
• Michael a Poleck DDS PA
• Michael Albert M D P C

• Primary Care Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Primary Care Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; 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.