Central Delaware Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2005202181 Issued in DE

Legal business name

CENTRAL DELAWARE FAMILY MEDICINE PA

Practice address

1001 S Bradford St
Suite 4
Dover, DE 19904-4153

Phone

(302) 735-1616

Fax

(302) 735-1617

NPI assigned

Aug 6, 2006

Last updated

Jan 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa P Little, M.D.

Title

Physician

Phone

(302) 735-1616

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1265441331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S BRADFORD ST",
            "address_2": "SUITE 4",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044153",
            "telephone_number": "302-735-1616",
            "fax_number": "302-735-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BRADFORD ST",
            "address_2": "SUITE 4",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044153",
            "telephone_number": "302-735-1616",
            "fax_number": "302-735-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DELAWARE FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "302-735-1616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "2005202181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000689602",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC8811",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Dover, DE
• Providers in Dover, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.