Trinity Medical Center, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRINITY MEDICAL CENTER, PA

Practice address

8 E Grove St
Delmar, DE 19940-1115

Phone

(302) 846-0618

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Khalil Gorgui

Title

President

Phone

(302) 846-0618

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Wendy Corkran, CRNP

  • Family Nurse Practitioner
  • Delmar, DE
  • NPI 1003357211
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700828167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E GROVE ST",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199401115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E GROVE ST",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199401115",
            "telephone_number": "302-846-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORGUI",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-846-0618"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024031",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makondo Shimukowa, MD
• Stephen Paul Southern, PHARMD
• State of Delaware
• Joshua Taylor, PHARMD
• Tidalhealth Physician Network, Inc.
• Walgreens 11079
• Seth Walker
• Amelia Jane Whaley, PT, DPT

• All providers in Delmar, DE
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.