Pike Creek Pediatric Associates PA

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PIKE CREEK PEDIATRIC ASSOCIATES PA

Practice address

5500 Skyline Dr
Wilmington, DE 19808-1772

Phone

(302) 239-7755

Fax

(302) 234-2735

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Marilyn Kay Lynam, M.D.

Title

President

Phone

(302) 239-7755

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104880442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SKYLINE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081772",
            "telephone_number": "302-239-7755",
            "fax_number": "302-234-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SKYLINE DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081772",
            "telephone_number": "302-239-7755",
            "fax_number": "302-234-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE CREEK PEDIATRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNAM",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-239-7755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000079502",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pike Creek Dental
• Pike Creek Dental LLC
• Pike Creek Dental, LLC
• Pike Creek Healthcare Services LLC
• Pike Creek Imaging Enterprises LLC
• Pike Creek SNF Operator LLC
• Philip L. Pike, D.D.S.
• Kimberly Janel Pikett, C.N.A.
• Danielle Pikunas, CADC
• Pillar Wellness Inc

• Pediatric Adolescent Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Pediatric Adolescent Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.