Heritage Medical Associates, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C1-00007714 Issued in DE

Legal business name

HERITAGE MEDICAL ASSOCIATES, P.A.

Practice address

2601 Annand Dr Ste 4
Heritage Professional Center
Wilmington, DE 19808-3719

Phone

(302) 998-3334

NPI assigned

Jun 27, 2007

Last updated

Mar 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Victor Fenice, M.D.NPI 1033138169

Title

Owner

Phone

(302) 998-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1e751165-d0f5-47ed-aa9b-1a8abb55d1d6/

Practitioners 7

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.

• John V. Fenice, M.D.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1033138169
  Medicare reassignment NPD Authorized official
• Brooke Garvey Enderle, PA-C

  • Physician Assistant
  • Wilmington, DE
  • NPI 1700461290
  Medicare reassignment
• Sharon Michele Henry, PA-C

  • Physician Assistant
  • Annapolis, MD
  • NPI 1164646014

  DE

  Medicare reassignment
• Mary A High, R.N., M.S.N.

  • Adult Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1457350019
  NPD
• Nicole Reilley, LMSW, CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Wilmington, DE
  • NPI 1598300634
  NPD
• Manouchehr Amini, MD

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1952453565
  NPD (past)
• Patricia Anne Wendel, DC

  • Chiropractor
  • Wilmington, DE
  • NPI 1871674325
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1609073493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR STE 4",
            "address_2": "HERITAGE PROFESSIONAL CENTER",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-998-3334",
            "fax_number": "302-998-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR STE 4",
            "address_2": "HERITAGE PROFESSIONAL CENTER",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-998-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "FENICE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-998-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-00007714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1033138169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herald Medical Services West PC
• Herbert H Heym M.D. P.a.
• Herbert T. Casalena, D.D.S., P.a.
• Duwaua Herbert, LCSW
• Larry Heredia, CRNA
• Bernhard Heinrich Herlyn, PSYD
• Rosario Hernandez-Andrade, CADC, CPRS
• Alexandria Corrine Hernandez
• Donna Evans Hernandez, LCSW
• Irma Hernandez, LCSW

• Family Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.