Organization Active NPI

Kiddocs, P.a.

  • Pediatrics Physician
  • Wilmington, DE
National Provider Identifier
1104942622
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C1-0003971 Issued in DE
Legal business name
KIDDOCS, P.A.
Practice address
4600 New Linden Hill Rd
Brownstone Plaza, Suite 204
Wilmington, DE 19808-2953
Phone
(302) 892-3300
Fax
(302) 892-9824
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ephigenia K Giannoukos, M.D.NPI 1750346045
Title
Owner
Phone
(302) 892-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X C1-0003971 DE Primary

Addresses

Primary practice location

4600 New Linden Hill Rd
Brownstone Plaza, Suite 204
Wilmington, DE 19808-2953

Mailing address

4600 New Linden Hill Rd
Brownstone Plaza, Suite 204
Wilmington, DE 19808-2953
Phone (302) 892-3300

National Provider Directory

National Provider Directory

Locations

4600 Linden Hill Rd
Ste 204
Wilmington, DE 19808
Phone (302) 892-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104942622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 NEW LINDEN HILL RD",
            "address_2": "BROWNSTONE PLAZA, SUITE 204",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082953",
            "telephone_number": "302-892-3300",
            "fax_number": "302-892-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 NEW LINDEN HILL RD",
            "address_2": "BROWNSTONE PLAZA, SUITE 204",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082953",
            "telephone_number": "302-892-3300",
            "fax_number": "302-892-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDOCS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIANNOUKOS",
        "authorized_official_first_name": "EPHIGENIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-892-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0003971",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.