NPIMap

Organization Active NPI

Christiana Care Pennsylvania Inc

  • Cardiovascular Disease Physician
  • Chadds Ford, PA
National Provider Identifier
1487494662
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CHRISTIANA CARE PENNSYLVANIA INC
Practice address
161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041
Phone
(610) 361-1115
NPI assigned
May 28, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIANA CARE PENNSYLVANIA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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) 623-7362

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X

Addresses

Primary practice location

161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041

Mailing address

4000 Nexus Dr Ste E3
Wilmington, DE 19803-3000

Other practice location 1

390 Vineyard Way Ste 501
West Grove, PA 19390-8836
Phone (302) 366-1929

Other names 1

  • CCHS Cardiology Practice PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240918002420 PA Part B Supplier - Clinic/Group Practice 8921549973 Receives reassigned benefits from 217 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kennett Square, PA; West Grove, PA; Media, PA; Havertown, PA; Glen Mills, PA; Chadds Ford, PA; Broomall, PA

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Christiana Care Pennsylvania Inc18 organizations share this tax ID, including this one
Part of
Christiana Care Pennsylvania Inc

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1487494662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 NEXUS DR STE E3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WILMINGTON W CHESTER PIKE",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179041",
            "telephone_number": "610-361-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Vineyard Way Ste 501",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193908836",
            "country_code": "US",
            "telephone_number": "302-366-1929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTIANA CARE PENNSYLVANIA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIANA CARE PENNSYLVANIA INC",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "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": "302-623-7362",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCHS Cardiology Practice PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.