NPIMap

Organization Active NPI

Christiana Care Health Services Inc

Doing business as CCHS Gastroenterology

  • Gastroenterology Physician
  • Newark, DE
National Provider Identifier
1487083069
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CHRISTIANA CARE HEALTH SERVICES INC
Doing business as
CCHS Gastroenterology
Practice address
4755 Ogletown Stanton Rd
Christiana Hospital
Newark, DE 19718-2200
Phone
(302) 733-1000
NPI assigned
Nov 5, 2013
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIANA CARE HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Robert W McMurray Jr.
Title
Cfo
Phone
(302) 428-2522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Christiana Hospital
Newark, DE 19718-2200

Mailing address

200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049
Phone (302) 623-7362

Other names 1

  • CCHS Gastroenterology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428000026 DE Part B Supplier - Hospital Department(S) 9739097569 Receives reassigned benefits from 42 practitioners
Practice locations: Newark, DE; Wilmington, DE

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

National Provider Directory

National Provider Directory
Part of
WMC Family Practice

Locations

Christiana Hospital Emergency
Newark, DE 19718

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Union Hospital of Cecil CountyElkton, MD, CCN 210032 Hospital 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control (100%)		 Jan 1, 2020
Jan 1, 2020
Christianacare Hospital, West GroveWest Grove, PA, CCN 390431 Hospital 5% Or Greater Indirect Ownership Interest (51%) Oct 9, 2023
Christianacare HomehealthSmyrna, DE, CCN 087301 Home health agency Operational/Managerial Control (100%) Jul 1, 2021
Christianacare-Accentcare Hospice & Palliative Care of DelawareNewark, DE, CCN 081508 Hospice 5% Or Greater Direct Ownership Interest (40%) Jun 1, 2021

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1487083069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "address_2": "SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "CHRISTIANA HOSPITAL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA CARE HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIANA CARE HEALTH SERVICES INC",
        "enumeration_date": "2013-11-05",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "MCMURRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "302-428-2522",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCHS Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCHS Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.