Internal Medicine of Delaware, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2005202434 Issued in DE

Legal business name

INTERNAL MEDICINE OF DELAWARE, LLC

Practice address

102 Sleepy Hollow Dr
Suite 101
Middletown, DE 19709-8894

Phone

(302) 376-9888

Fax

(302) 376-9160

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rodrigo Cordero Tanchanco, M.D.NPI 1356344816

Title

Owner

Phone

(302) 376-9888

Specialties & licenses 1

Addresses

Locations

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.

• Rodrigo Cordero Tanchanco, MD

  • Internal Medicine Physician
  • Middletown, DE
  • NPI 1356344816
  NPD (past) Authorized official

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265487128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR",
            "address_2": "SUITE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098894",
            "telephone_number": "302-376-9888",
            "fax_number": "302-376-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR",
            "address_2": "SUITE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098894",
            "telephone_number": "302-376-9888",
            "fax_number": "302-376-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF DELAWARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANCHANCO",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_middle_name": "CORDERO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-376-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DE",
            "license": "2005202434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauryn Daziel Hylton
• Elizabeth Rachael Ide, OD
• Chukwuemeka Igwe
• Imperial Psychiatric Services LLC
• Integrated Health, LLC
• Aaron Jackson, PT
• Cordele Jackson, DPT, PT
• Kristine Jackson, FNP
• Nikita Yvette Jackson, NBC-HWC
• Shelby Jackson, LPCMH

• Primary Care Clinic/Center in Middletown, DE
• Providers in Middletown, DE by specialty
• Primary Care Clinic/Center in Delaware

• 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.