Henry E Childers IV, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

C1-0009809 Issued in DE

Practice address

20930 Dupont Blvd
Suite 202
Georgetown, DE 19947-1725

Phone

(302) 258-8853

Fax

(302) 253-8430

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: henry.childers@25253326.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiothoracic Surgical Associates

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Greensburg, PA
  • NPI 1164404653

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)
• Laser Eye Surgery of Erie, Inc

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1588751713
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1265415491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD",
            "address_2": "SUITE 202",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471725",
            "telephone_number": "302-258-8853",
            "fax_number": "302-253-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD",
            "address_2": "SUITE 202",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471725",
            "telephone_number": "302-258-8853",
            "fax_number": "302-253-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "HENRY",
        "middle_name": "E",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "DE",
            "license": "C1-0009809",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C1-0009809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Cassidy
• Maria Carmen Castillo, MSW
• Anne M Caswell, MD
• Cheer, Inc.
• Claire Chianese, APRN
• Brenda Lankford Childs, RN
• Christiana Care Health Initiatives, Inc.
• Samantha Anna-Leigh Clark, FNP-C
• Joanna Clayton
• Sylvia Clemens, CADC, CCDP

• All providers in Georgetown, DE
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.