NPIMap

Organization Active NPI

Adult and Adolescent Medicine of Middletown,LLC

  • Adolescent Medicine (Internal Medicine) Physician
  • Middletown, DE
National Provider Identifier
1215978614
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
C10004487 Issued in DE
Legal business name
ADULT AND ADOLESCENT MEDICINE OF MIDDLETOWN,LLC
Practice address
102 Sleepy Hollow Dr
Suite 200
Middletown, DE 19709-8894
Phone
(302) 376-8899
Fax
(302) 376-8890
NPI assigned
Jun 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Darrin George Campo, MDNPI 1831146562
Title
Owner
Phone
(302) 376-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X C10004487 DE Primary

Addresses

Primary practice location

102 Sleepy Hollow Dr
Suite 200
Middletown, DE 19709-8894

Mailing address

102 Sleepy Hollow Dr
Suite 200
Middletown, DE 19709-8894
Phone (302) 376-8899

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215978614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR",
            "address_2": "SUITE 200",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098894",
            "telephone_number": "302-376-8899",
            "fax_number": "302-376-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR",
            "address_2": "SUITE 200",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098894",
            "telephone_number": "302-376-8899",
            "fax_number": "302-376-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND ADOLESCENT MEDICINE OF MIDDLETOWN,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-376-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "DE",
            "license": "C10004487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, 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.