Greg Randolph Pahnke, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

C10002136 Issued in DE

Practice address

4701 Ogletown Stanton Rd
Ste 1340
Newark, DE 19713-2055

Phone

(302) 733-0404

Fax

(302) 733-0556

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christiana Care Health Initiatives

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1417993189
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1427054857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "STE 1340",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-733-0404",
            "fax_number": "302-733-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "STE 1340",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-733-0404",
            "fax_number": "302-733-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHNKE",
        "first_name": "GREG",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "DE",
            "license": "C10002136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96101",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Pacis, MD
• Karen Gott Padlo, RPH
• Stephanie Pagan
• Denise Michele Page
• Allison Leigh Pagliughi, CRNA
• Helen Hyejin Paik, M.D.
• Pain & Sleep Therapy Center
• Pain & Sleep Therapy Center
• Pain Solution Centers of Delaware
• Pain Treatment & Rehabilitation Center,PA

• Surgical Oncology Physician in Newark, DE
• Providers in Newark, DE by specialty
• Surgical Oncology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.