Delaware Integrative Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C1-0009809 Issued in DE

Legal business name

DELAWARE INTEGRATIVE MEDICAL CENTER

Doing business as

Delaware Integrative Medical Center

Practice address

20930 Dupont Blvd
Suite 202
Georgetown, DE 19947-1725

Phone

(302) 258-8853

Fax

(302) 253-8430

NPI assigned

Mar 20, 2014

Last updated

Jun 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry E Childers IV, M.D.NPI 1265415491

Title

Owner/Physician

Phone

(740) 727-4686

Specialties & licenses 1

Addresses

Other names 1

• Delaware Integrative Medical Center Doing business as

Locations

Practitioners 1

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.

• Henry E Childers IV, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Georgetown, DE
  • NPI 1265415491
  Authorized official Same address or phone

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1659798353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471725",
            "telephone_number": "302-258-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD",
            "address_2": "SUITE 202",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471725",
            "telephone_number": "302-258-8853",
            "fax_number": "302-253-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE INTEGRATIVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "740-727-4686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0009809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware Integrative Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Debow, CPRS, CADC
• Reilly Degen, OTR/L
• Delaware Dental Specialists
• Delaware Division of Substance Abuse and Mental Health (Sussex Bridge Clinic)
• Delaware Home Health Care Inc
• Delaware Sleep Disorder Centers, LLC
• Delaware Sleep Disorder Centers, LLC
• Delmarva Medical Staffing (Nurse Next Door Delaware)
• Brittany Dennis
• Debra Deptula, LPN

• Internal Medicine Physician in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.