Organization Active NPI

Maternity Associates, PA

  • Obstetrics & Gynecology Physician
  • Wilmington, DE
National Provider Identifier
1285724302
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C2-0000683 Issued in DE
Legal business name
MATERNITY ASSOCIATES, PA
Practice address
3524 Silverside Rd
The Commons, Suite 33
Wilmington, DE 19810-4929
Phone
(302) 478-7973
Fax
(302) 478-2746
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. John C Carlson, DO
Title
President
Phone
(302) 475-5893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C2-0000683 DE Primary

Addresses

Primary practice location

3524 Silverside Rd
The Commons, Suite 33
Wilmington, DE 19810-4929

Mailing address

3524 Silverside Rd
The Commons, Suite 33
Wilmington, DE 19810-4929
Phone (302) 478-7973

Other identifiers 5

IdentifierTypeStateIssuer
0423079000OtherDEPERSONAL CHOICE
0063393OtherDEAETNA
0000147904MedicaidDE
0423079000OtherDEAMERIHEALTH
0423079000OtherDEKEYSTONE

National Provider Directory

National Provider Directory

Locations

3524 Silverside Rd
Ste 33
Wilmington, DE 19810
Phone (302) 478-7973

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1285724302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 SILVERSIDE RD",
            "address_2": "THE COMMONS, SUITE 33",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104929",
            "telephone_number": "302-478-7973",
            "fax_number": "302-478-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 SILVERSIDE RD",
            "address_2": "THE COMMONS, SUITE 33",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104929",
            "telephone_number": "302-478-7973",
            "fax_number": "302-478-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNITY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-475-5893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C2-0000683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0423079000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0063393",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000147904",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0423079000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0423079000",
            "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 Mar 15, 2011; 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.