NPIMap

Organization Active NPI

Christiana Care Health Services, Inc

Doing business as CCHS Family Medicine

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1619951068
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHRISTIANA CARE HEALTH SERVICES, INC
Doing business as
CCHS Family Medicine
Practice address
1401 Foulk Rd
Suite 100B
Wilmington, DE 19803-2763
Phone
(302) 477-3300
Fax
(302) 477-3168
NPI assigned
Nov 30, 2005
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIANA CARE HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Robert W McMurray Jr.
Title
Cfo
Phone
(302) 428-2522

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X
Geriatric Medicine (Family Medicine) Physician 207QG0300X
Sports Medicine (Family Medicine) Physician 207QS0010X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

1401 Foulk Rd
Suite 100B
Wilmington, DE 19803-2763

Mailing address

PO Box 30170
Wilmington, DE 19805-7170

Other practice location 1

1400 N Washington St Ste 300
Wilmington, DE 19801-1024
Phone (302) 255-1220

Other practice location 2

501 W 14th St
Wilmington, DE 19801-1013
Phone (302) 477-3300

Other practice location 3

400 South St Ste 100
New Castle, DE 19720-5057
Phone (302) 327-7630

Other practice location 4

365 Airport Rd
New Castle, DE 19720-1007
Phone (302) 320-9660

Other identifiers 1

IdentifierTypeStateIssuer
1619951068MedicaidDE

Other names 1

  • CCHS Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031201000477 DE Part B Supplier - Clinic/Group Practice 9739097569 Receives reassigned benefits from 1,678 practitioners
32 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 32

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 32

National Provider Directory

National Provider Directory
Part of
WMC Family Practice

Locations

1080 Bunker Hill Rd
Middletown, DE 19709
Phone (302) 378-5960

124 Sleepy Hollow Dr
Ste 203
Middletown, DE 19709
Phone (302) 449-3030

365 Airport Rd
New Castle, DE 19720
Phone (302) 320-9660

94 Christiana Rd
New Castle, DE 19720
Phone (302) 327-7360

4755 Ogletown Stanton Rd
#1900
Newark, DE 19718

4755 Ogletown Stn Rd Ste5a43
Newark, DE 19718

750 E Delaware Ave
Newark, DE 19711
Phone (302) 369-1606

1400 N Washington St
#300
Wilmington, DE 19801

1400 N Washington St
Rm 327
Wilmington, DE 19801

1400 N Washington St
Ste 325
Wilmington, DE 19801

1401 Foulk Rd
Ste 100
Wilmington, DE 19803
Phone (302) 477-3325

1417 Newport Rd
Wilmington, DE 19804
Phone (302) 323-2793

2951 Centerville Rd
Wilmington, DE 19808
Phone (302) 633-1182

401 E 12th St
Wilmington, DE 19801
Phone (302) 571-5431

501 W 14th St
Bldg 5
Wilmington, DE 19801

721 E Baltimore Pike
Kennett Square, PA 19348
Phone (302) 661-3374

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1619951068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198057170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD",
            "address_2": "SUITE 100B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032763",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Washington St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011024",
            "country_code": "US",
            "telephone_number": "302-255-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-477-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 South St Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197205057",
            "country_code": "US",
            "telephone_number": "302-327-7630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "365 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197201007",
            "country_code": "US",
            "telephone_number": "302-320-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTIANA CARE HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIANA CARE HEALTH SERVICES, INC",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "MCMURRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "302-428-2522",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619951068",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCHS Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCHS Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.