NPIMap

Organization Active NPI

Abg Medicine, PLLC

  • Anesthesiology Physician
  • Dover, DE
National Provider Identifier
1457599052
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C1-0008124 Issued in DE
Legal business name
ABG MEDICINE, PLLC
Practice address
742 S Governors Ave
Suite 2
Dover, DE 19904-4111
Phone
(302) 678-4630
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Senad Cemerlic, M.D.
Title
Medical Director
Phone
(302) 535-8490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X C1-0008124 DE Primary

Addresses

Primary practice location

742 S Governors Ave
Suite 2
Dover, DE 19904-4111

Mailing address

17 Pennwood Dr
Dover, DE 19901-5848
Phone (302) 535-8490

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1457599052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PENNWOOD DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015848",
            "telephone_number": "302-535-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 S GOVERNORS AVE",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044111",
            "telephone_number": "302-678-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABG MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "CEMERLIC",
        "authorized_official_first_name": "SENAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "302-535-8490",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C1-0008124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.