NPIMap

Organization Active NPI

Home Physician Network

  • Internal Medicine Physician
  • Bear, DE
National Provider Identifier
1508899394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0006473 Issued in DE
Legal business name
HOME PHYSICIAN NETWORK
Practice address
2443 McCoy Rd
Bear, DE 19701-1931
Phone
(302) 832-5099
NPI assigned
Jul 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christian Wathen, M.D.NPI 1457384232
Title
Owner
Phone
(302) 832-5099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C1-0006473 DE Primary

Addresses

Primary practice location

2443 McCoy Rd
Bear, DE 19701-1931

Mailing address

2443 McCoy Rd
Bear, DE 19701-1931
Phone (302) 832-5099

Other identifiers 1

IdentifierTypeStateIssuer
1000034715MedicaidDE

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508899394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 MCCOY RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011931",
            "telephone_number": "302-832-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 MCCOY RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011931",
            "telephone_number": "302-832-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATHEN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-832-5099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0006473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000034715",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.