Active NPI
CMC Department of Medicine Group PA
- Gastroenterology Physician
- Wilmington, DE
National Provider Identifier
1598884405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CMC DEPARTMENT OF MEDICINE GROUP PA
- Practice address
- 7TH & Clayton STS
Saint Francis Medical Center
Wilmington, DE 19805 - Phone
- (302) 421-4100
- NPI assigned
- Mar 29, 2007
- Last updated
- Jun 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn E Bekes
- Title
- Chief Medical Officer, SVP
- Phone
- (856) 342-2921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
7TH & Clayton STS
Saint Francis Medical Center
Wilmington, DE 19805
Mailing address
3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 342-2921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2350154000 | Other | DE | AMERI GRP# (DELAWARE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246320000000",
"number": "1598884405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 502",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-2921",
"fax_number": "856-968-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7TH & CLAYTON STS",
"address_2": "SAINT FRANCIS MEDICAL CENTER",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19805",
"telephone_number": "302-421-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMC DEPARTMENT OF MEDICINE GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2009-06-30",
"status": "A",
"authorized_official_last_name": "BEKES",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER, SVP",
"authorized_official_telephone_number": "856-342-2921"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERI GRP# (DELAWARE)",
"identifier": "2350154000",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.