Organization Active NPI

Christiana Care Pennsylvania Inc

Doing business as CCPA Radiology

  • Diagnostic Radiology Physician
  • Chadds Ford, PA
National Provider Identifier
1194564427
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CHRISTIANA CARE PENNSYLVANIA INC
Doing business as
CCPA Radiology
Practice address
161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041
Phone
(610) 361-1150
NPI assigned
May 24, 2024
Last updated
May 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIANA CARE PENNSYLVANIA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Robert W McMurray Jr.
Title
Cfo
Phone
(302) 623-7362

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X
Pediatric Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085P0229X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041

Mailing address

4000 Nexus Dr Ste E3
Wilmington, DE 19803-3000
Phone (302) 623-7362

Other names 1

  • CCPA Radiology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christiana Care Pennsylvania Inc18 organizations share this tax ID, including this one
Part of
Christiana Care Pennsylvania Inc

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1194564427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 NEXUS DR STE E3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033000",
            "telephone_number": "302-623-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WILMINGTON W CHESTER PIKE",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179041",
            "telephone_number": "610-361-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA CARE PENNSYLVANIA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIANA CARE PENNSYLVANIA INC",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MCMURRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "302-623-7362",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCPA Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.