Active NPI
Gale Helen Rutan, MD
- Internal Medicine Physician
- Wilmington, DE
National Provider Identifier
1649380635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C1-0012420
- Practice address
- Brandywine Counseling and Community Services
2713 Lancaster Ave.
Wilmington, DE 19805 - Phone
- (302) 656-2348
- Fax
- (302) 656-8920
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD029863E | PA | |
| Internal Medicine Physician | 207R00000X | C1-0012420 | DE | Primary |
Addresses
Primary practice location
Brandywine Counseling and Community Services
2713 Lancaster Ave.
Wilmington, DE 19805
Mailing address
Brandywine Counseling and Community Services
2713 Lancaster Ave
Wilmington, DE 19805
Phone (302) 803-0596
Other practice location 1
Dc Veterans Affairs Medical Ctr
50 Irving St, NW (11C)
Washington, DC 20422-0001
Phone (202) 745-8000 ext. 57854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1-0012320 | Other | DE | DELAWARE STATE MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649380635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BRANDYWINE COUNSELING AND COMMUNITY SERVICES",
"address_2": "2713 LANCASTER AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19805",
"telephone_number": "302-803-0596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRANDYWINE COUNSELING AND COMMUNITY SERVICES",
"address_2": "2713 LANCASTER AVE.",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19805",
"telephone_number": "302-656-2348",
"fax_number": "302-656-8920"
}
],
"practiceLocations": [
{
"address_1": "Dc Veterans Affairs Medical Ctr",
"address_2": "50 Irving St, NW (11C)",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "204220001",
"country_code": "US",
"telephone_number": "202-745-8000 x57854",
"fax_number": "202-518-4646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTAN",
"first_name": "GALE",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD029863E",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0012420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE STATE MEDICAL LICENSE",
"identifier": "C1-0012320",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}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 Mar 17, 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.