Active NPI
Pahnke, Penman, and Whitney PA
- Surgery Physician
- Wilmington, DE
National Provider Identifier
1811993249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C10002136
- Legal business name
- PAHNKE, PENMAN, AND WHITNEY PA
- Practice address
- 410 Foulk Rd
Ste 200a
Wilmington, DE 19803-3802 - Phone
- (302) 764-2380
- Fax
- (302) 764-3501
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Greg Randolph Pahnke, M.D.
- Title
- President
- Phone
- (302) 733-0404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C10002136 | DE | Primary |
Addresses
Primary practice location
410 Foulk Rd
Ste 200a
Wilmington, DE 19803-3802
Mailing address
4701 Ogletown Stanton Rd
Suite 1340
Newark, DE 19713-2055
Phone (302) 733-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253702 | Medicaid | DE |
National Provider Directory
National Provider DirectoryLocations
4755 Ogletown Stanton Rd
#2112
Newark, DE 19718
4701 Ogletown Stanton Rd
Ste 1340
Newark, DE 19713
Phone (302) 733-0404
410 Foulk Rd
Ste 200A
Wilmington, DE 19803
Phone (302) 764-2380
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Newark, DE
- NPI 1003838806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395360000000",
"number": "1811993249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 OGLETOWN STANTON RD",
"address_2": "SUITE 1340",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132055",
"telephone_number": "302-733-0404",
"fax_number": "302-733-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 FOULK RD",
"address_2": "STE 200A",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033802",
"telephone_number": "302-764-2380",
"fax_number": "302-764-3501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAHNKE, PENMAN, AND WHITNEY PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2014-03-21",
"status": "A",
"authorized_official_last_name": "PAHNKE",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "RANDOLPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "302-733-0404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "DE",
"license": "C10002136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253702",
"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 21, 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.