Individual provider Active NPI

Amy Lin Woodcheke, BS, MHS, PA-C

  • Medical Physician Assistant
  • Middletown, DE
National Provider Identifier
1629114574
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C5-0000704 Issued in DE
Practice address
735 Mapleton Ave, Suite 100
CCHS Pediatric Associates at Whitehall
Middletown, DE 19709
Phone
(302) 368-8612
Fax
(302) 203-2424
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003342 MD
Medical Physician Assistant 363AM0700X C5000704 DE
Medical Physician Assistant 363AM0700X C5-0000704 DE Primary

Addresses

Primary practice location

735 Mapleton Ave, Suite 100
CCHS Pediatric Associates at Whitehall
Middletown, DE 19709

Mailing address

735 Mapleton Ave
Middletown, DE 19709-1526
Phone (302) 368-8612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812001510 DE Order and Referring Only - Physician Assistant 4082018023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003342MDMDPhysician Assistant
C5-0000704DEMDMedical Physician Assistant
C5000704DEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Physician Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1629114574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MAPLETON AVE",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091526",
            "telephone_number": "302-368-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MAPLETON AVE, SUITE 100",
            "address_2": "CCHS PEDIATRIC ASSOCIATES AT WHITEHALL",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "19709",
            "telephone_number": "302-368-8612",
            "fax_number": "302-203-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCHEKE",
        "first_name": "AMY",
        "middle_name": "LIN",
        "credential": "BS, MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-02-19",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003342",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5000704",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0000704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.