Case Family Practice and Sports Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CASE FAMILY PRACTICE AND SPORTS MEDICINE, LLC

Practice address

272 Carter Dr Ste 200
Middletown, DE 19709-5851

Phone

(302) 449-1713

Fax

(302) 449-1717

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Case, MD

Title

Owner

Phone

(302) 449-1710

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennie Louisa Queen, PA-C

  • Medical Physician Assistant
  • Middletown, DE
  • NPI 1154574986
  NPD (past)
• Deborah Daetwyler Boyd, M.D.

  • Surgery Physician
  • Wilson, NC
  • NPI 1538185228
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1649353202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CARTER DR STE 200",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095851",
            "telephone_number": "302-449-1713",
            "fax_number": "302-449-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CARTER DR STE 200",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095851",
            "telephone_number": "302-449-1713",
            "fax_number": "302-449-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE FAMILY PRACTICE AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-449-1710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "1520203",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS MD",
            "identifier": "KEI5CA",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIAHEALTH HMO",
            "identifier": "2207011000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carebridge Health Systems Inc.
• Caring Comfort LLC
• Marianne B Carter, MS, RD, CHES
• Jessica O Caruana, LPCMH, CAADC
• Ana Nora Caruso, LCSW
• Mark Case, M.D.
• Cedar See Vision Center LLC
• John Mathew Cellucci, MD
• Center for Connection & Desire LLC
• Center for Conscious Healing

• Family Medicine Physician in Middletown, DE
• Providers in Middletown, 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 Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.