Peninsula United Methodist Home

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C10002546 Issued in DE

Legal business name

PENINSULA UNITED METHODIST HOME

Doing business as

phys serv methodist manor

Practice address

1001 Middleford Rd
Seaford, DE 19973-3638

Phone

(302) 235-6066

Fax

(302) 235-6001

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William L Starcher Jr.

Title

Exec VP/ Cfo

Phone

(302) 235-6827

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• phys serv methodist manor Doing business as

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1316947799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 LOVEVILLE RD",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071515",
            "telephone_number": "302-235-6066",
            "fax_number": "302-235-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733638",
            "telephone_number": "302-235-6066",
            "fax_number": "302-235-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA UNITED METHODIST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "STARCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXEC VP/ CFO",
        "authorized_official_telephone_number": "302-235-6827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10002546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYS SERVICES",
            "identifier": "0000146180",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYS SERVICES",
            "identifier": "154039",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "phys serv methodist manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lee Passwaters, MSN, FNP-C
• Peninsula Chiropractic Center
• Peninsula Chiropractic Center
• Peninsula Home Health Care Inc.
• Peninsula Orthopaedic Assoc., PA
• Brandi Perry, RN
• Nicholas Peter, DPT
• Jessica Peterson, OTRL
• Mari Alisza Phares
• Meredith Phillips-Woodard, LCSW

• Internal Medicine Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.