Gregory K. Wanner, DO, PA-C

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C2-0011617 Issued in DE

Practice address

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Phone

(302) 733-1840

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

Philadelphia College of Osteopathic Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

Locations

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.

• Christiana Care Health Services, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107

  DE

  Medicare reassignment Care Compare group NPD
• Christiana Care Emergency Physicians LLC

  • Emergency Medicine Physician
  • Newark, DE
  • NPI 1639956451

  DE, Emergency Medicine

  Medicare reassignment NPD
• Christiana Care Emergency Physicians LLC

  • Emergency Medicine Physician
  • Elkton, MD
  • NPI 1871375899

  Emergency Medicine, MD

  Medicare reassignment NPD
• Christiana Care Health Services Inc

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1952335556

  Emergency Medicine

  Care Compare group NPD
• Doctors for Emergency Service

  • Emergency Medicine Physician
  • Newark, DE
  • NPI 1750369674

  MD

  Medicare reassignment
• Christiana Care Health Services Inc

  • Family Medicine Physician
  • Rehoboth Beach, DE
  • NPI 1023732203
  Care Compare group
• Christiana Care Health Services Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1194073411
  Care Compare group
• Christiana Care Health Services Inc

  • Hospitalist Physician
  • Newark, DE
  • NPI 1245474329
  Care Compare group
• Christiana Care Health Services Inc

  • Pulmonary Disease Physician
  • Newark, DE
  • NPI 1255618070
  Care Compare group
• Christiana Care Health Services Inc

  • Neurology Physician
  • Newark, DE
  • NPI 1457593949
  Care Compare group
• Christiana Care Health Services Inc

  • Gastroenterology Physician
  • Newark, DE
  • NPI 1487083069
  Care Compare group
• Christiana Care Health Services Inc

  • Vascular Surgery Physician
  • Newark, DE
  • NPI 1568738839
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1689609661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7529",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197147529",
            "telephone_number": "302-294-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNER",
        "first_name": "GREGORY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DO, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00150600",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT015368",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C2-0011617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Wang, DO
• Bo Wang
• Diane Yuan Wang
• Huijun Wang, M.D.
• Peter Wanjau
• Kimberly Wanner, AGNP
• Erica Waples, MD
• Warby Parker Inc.
• Finnley Rose Ward
• Kirsten Alva Ward

• All providers in Newark, DE
• Emergency Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.