Active NPI
George A. Datto III, MD
- Pediatrics Physician
- Wilmington, DE
National Provider Identifier
1104917475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C10006653
- Practice address
- 1600 Rockland Road
Wilmington, DE 19803-3607 - Phone
- (302) 651-4200
- Fax
- (302) 651-5948
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C10006653 | DE | Primary |
| Hospitalist Physician | 208M00000X | C10006653 | DE | |
| Hospitalist Physician | 208M00000X | MD060503L | PA |
Addresses
Primary practice location
1600 Rockland Road
Wilmington, DE 19803-3607
Mailing address
P.O. Box 191
Rockland, DE 19723-0191
Phone (302) 651-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7580509 | Medicaid | NJ | |
| 001699495 | Medicaid | PA | |
| 5119031 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10006653 | DE | MD | Pediatrics Physician |
| MD060503L | PA | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1104917475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197230191",
"telephone_number": "302-651-4000",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 ROCKLAND ROAD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033607",
"telephone_number": "302-651-4200",
"fax_number": "302-651-5948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATTO III",
"first_name": "GEORGE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C10006653",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "DE",
"license": "C10006653",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD060503L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7580509",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001699495",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5119031",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.