Family Medicine of Middletown, PA.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C1-0005462 Issued in DE

Legal business name

FAMILY MEDICINE OF MIDDLETOWN, PA.

Practice address

209 E Main St Ste 6
Middletown, DE 19709-1449

Phone

(302) 376-6761

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Mhaidi ElmedkharNPI 1760461859

Title

Owner

Phone

(302) 376-6761

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Mhaidi Elmedkhar, M.D.

  • Family Medicine Physician
  • Middletown, DE
  • NPI 1760461859
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1285826131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E MAIN ST STE 6",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E MAIN ST STE 6",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091449",
            "telephone_number": "302-376-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF MIDDLETOWN, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "ELMEDKHAR",
        "authorized_official_first_name": "MHAIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-376-6761"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0005462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Everett
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• Kathy Farber
• Tammy Marie Feeley, COTA/L
• Cara Feeny, M.A., NCSP
• Mary C. Fenimore, CADC
• Donna L Fenton, M.A.

• Family Medicine Physician in Middletown, DE
• Providers in Middletown, 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 Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.