Active NPI
Nancy M Gideon, MD
- Pediatrics Physician
- Rehoboth Beach, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C10005362
- Practice address
- 18947 John J Williams Hwy
Suite 212
Rehoboth Beach, DE 19971-4476 - Phone
- (302) 645-8212
- Fax
- (302) 645-2199
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C10005362 | DE | Primary |
Addresses
Primary practice location
18947 John J Williams Hwy
Suite 212
Rehoboth Beach, DE 19971-4476
Mailing address
18947 John J Williams Hwy
Suite 212
Rehoboth Beach, DE 19971-4476
Phone (302) 645-8212
Other practice location 1
32566 Docs Pl Unit 1
Millville, DE 19967-6959
Phone (302) 645-8212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10005362 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| Beebe Physician Network Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
32566 Docs Pl
Unit 1
Millville, DE 19967
Phone (302) 645-8212
18947 John J Williams Hwy
Unit 212
Rehoboth Beach, DE 19971
Phone (302) 645-8212
Interoperability endpoints
- nancy.gideon.1@14827.direct.athenahealth.com
- https://api.platform.athenahealth.com/14827/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Beebe Medical Group
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1609871797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18947 JOHN J WILLIAMS HWY",
"address_2": "SUITE 212",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714476",
"telephone_number": "302-645-8212",
"fax_number": "302-645-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18947 JOHN J WILLIAMS HWY",
"address_2": "SUITE 212",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714476",
"telephone_number": "302-645-8212",
"fax_number": "302-645-2199"
}
],
"practiceLocations": [
{
"address_1": "32566 Docs Pl Unit 1",
"address_purpose": "LOCATION",
"city": "Millville",
"state": "DE",
"postal_code": "199676959",
"country_code": "US",
"telephone_number": "302-645-8212",
"fax_number": "302-645-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIDEON",
"first_name": "NANCY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C10005362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.