Organization Active NPI

David P Wien, MD LLC

  • Allergy Physician
  • Wilmington, DE
National Provider Identifier
1265489173
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
C10005662 Issued in DE
Legal business name
DAVID P WIEN, MD LLC
Practice address
708 Greenbank Rd
Wilmington, DE 19808-3168
Phone
(302) 998-1866
Fax
(302) 998-3261
NPI assigned
May 27, 2006
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. David Peter Wien, MDNPI 1912904038
Title
Owner
Phone
(302) 998-1866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X C10005662 DE Primary

Addresses

Primary practice location

708 Greenbank Rd
Wilmington, DE 19808-3168

Mailing address

708 Greenbank Rd
Wilmington, DE 19808-3168
Phone (302) 998-1866

Other identifiers 1

IdentifierTypeStateIssuer
1000035312MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000409 DE Part B Supplier - Clinic/Group Practice 2466407879 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

708 Greenbank Rd
Wilmington, DE 19808
Phone (302) 998-1866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265489173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 GREENBANK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083168",
            "telephone_number": "302-998-1866",
            "fax_number": "302-998-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 GREENBANK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083168",
            "telephone_number": "302-998-1866",
            "fax_number": "302-998-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P WIEN, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-998-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "DE",
            "license": "C10005662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035312",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.