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Christianacare Virtual Health Practice PA

Organization Active NPI Pulmonary Disease Physician · Wilmington, DE

NPI 1740901701 · NPPES record last updated Sep 8, 2022

Key facts

NPI
1740901701
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Disease Physician 207RP1001X
Legal business name
CHRISTIANACARE VIRTUAL HEALTH PRACTICE PA
Practice address
4000 Nexus Dr Ste Ne3-100
Wilmington, DE 19803-3000
Phone
(302) 320-9771
NPI assigned
Sep 8, 2022
Organization subpart
No

Authorized official

Name
Robert W McMurray Jr.
Title
Cfo
Phone
(302) 623-7202

Practitioners 31

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

View all 31

National Provider Directory

Locations

4000 Nexus Dr
Ste NE3100
Wilmington, DE 19803
Phone (302) 320-9771

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TC0700X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RP1001X Yes
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084N0400X

Addresses

Primary practice location

4000 Nexus Dr Ste Ne3-100
Wilmington, DE 19803-3000

Mailing address

200 Hygeia Dr
Newark, DE 19713-2049

Other names

  • CCVH Specialty Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 8, 2022.

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1740901701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 NEXUS DR STE NE3-100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033000",
            "telephone_number": "302-320-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANACARE VIRTUAL HEALTH PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "MCMURRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "302-623-7202",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCVH Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

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Sources for this page

Verify at the official NPI Registry.