Organization Active NPI

DC Medical Services, LLC

  • Internal Medicine Physician
  • Georgetown, DE
National Provider Identifier
1528083433
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1998203011 Issued in DE
Legal business name
DC MEDICAL SERVICES, LLC
Practice address
10 W Laurel St
Georgetown, DE 19947-1424
Phone
(302) 855-0915
Fax
(302) 855-0914
NPI assigned
Jul 12, 2006
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Jona D. Gorra, MDNPI 1619900461
Title
Partner
Phone
(302) 855-0915

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 1998203011 DE Primary

Addresses

Primary practice location

10 W Laurel St
Georgetown, DE 19947-1424

Mailing address

10 W Laurel St
Georgetown, DE 19947-1424
Phone (302) 855-0915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061018000211 DE Part B Supplier - Clinic/Group Practice 3375549108 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D0942349DC Medical Services LLC10 West Laurel Street, Georgetown, DE 19947Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory

Locations

10 W Laurel St
Georgetown, DE 19947
Phone (302) 855-0915

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1528083433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W LAUREL ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471424",
            "telephone_number": "302-855-0915",
            "fax_number": "302-855-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W LAUREL ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471424",
            "telephone_number": "302-855-0915",
            "fax_number": "302-855-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "GORRA",
        "authorized_official_first_name": "JONA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "302-855-0915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "1998203011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.