Active NPI
Christiana Care Health Services Inc
- Family Medicine Physician
- Elkton, MD
National Provider Identifier
1316570575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CHRISTIANA CARE HEALTH SERVICES INC
- Doing business as
- CCHS Primary Care MD
- Practice address
- 126A E High St
Elkton, MD 21921-5638 - Phone
- (410) 398-8300
- NPI assigned
- Feb 17, 2020
- Organization subpart
- Yes
- Parent organization
- CHRISTIANA CARE HEALTH SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia D Watson
- Title
- Corporate Director of PFS
- Phone
- (302) 623-7168
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Internal Medicine Physician | 207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X |
Addresses
Primary practice location
126A E High St
Elkton, MD 21921-5638
Mailing address
200 Hygeia Dr Ste 2300
Newark, DE 19713-2049
Other practice location 1
322 E Cecil Ave
North East, MD 21901-4012
Phone (410) 287-5570
Other names 1
- CCHS Primary Care MD
National Provider Directory
National Provider Directory- Tax ID family
- Christiana Care Ambulance
- Part of
- Christiana Care Ambulance
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Hematology & Oncology Physician
- Elkton, MD
- NPI 1306375373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581897600000",
"number": "1316570575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR STE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126A E HIGH ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215638",
"telephone_number": "410-398-8300"
}
],
"practiceLocations": [
{
"address_1": "322 E Cecil Ave",
"address_purpose": "LOCATION",
"city": "North East",
"state": "MD",
"postal_code": "219014012",
"country_code": "US",
"telephone_number": "410-287-5570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHRISTIANA CARE HEALTH SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHRISTIANA CARE HEALTH SERVICES INC",
"enumeration_date": "2020-02-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CORPORATE DIRECTOR OF PFS",
"authorized_official_telephone_number": "302-623-7168"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CCHS Primary Care MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elkton, MD
- Chesapeake Wellness Center
- Chesapeake Womens Care LLC
- Katherine Lane Chirnside, LMSW
- Christiana Care Emergency Physicians LLC
- Christiana Care Health Services Inc
- Christiana Care Quality Partners
- Christopher H Wendel MD PA
- Christopher W. Koterwas, D.D.S.,P.a.
- Jason Chrystal, LMSW
- Stacy Jo Ciano, LCSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.