Organization Active NPI

Limestone Medical & Pediatric Assoc, P.a.

  • Adolescent Medicine (Internal Medicine) Physician
  • Wilmington, DE
National Provider Identifier
1366503096
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
Legal business name
LIMESTONE MEDICAL & PEDIATRIC ASSOC, P.A.
Practice address
4512 Kirkwood Hwy
Suite 300
Wilmington, DE 19808-5123
Phone
(302) 992-9617
Fax
(302) 992-9633
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
James D'Amour, MD
Title
President
Phone
(302) 992-9617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X Primary

Addresses

Primary practice location

4512 Kirkwood Hwy
Suite 300
Wilmington, DE 19808-5123

Mailing address

4512 Kirkwood Hwy
Suite 300
Wilmington, DE 19808-5123
Phone (302) 992-9617

Other identifiers 1

IdentifierTypeStateIssuer
0000546402MedicaidDE

National Provider Directory

National Provider Directory

Locations

1941 Limestone Rd
Ste 210
Wilmington, DE 19808
Phone (302) 992-9617

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1366503096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HWY",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123",
            "telephone_number": "302-992-9617",
            "fax_number": "302-992-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HWY",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123",
            "telephone_number": "302-992-9617",
            "fax_number": "302-992-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMESTONE MEDICAL & PEDIATRIC ASSOC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "D'AMOUR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-992-9617",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000546402",
            "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 13, 2008; 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.