Organization Active NPI

Pahnke, Penman, and Whitney PA

  • Surgery Physician
  • Wilmington, DE
National Provider Identifier
1811993249
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C10002136 Issued in DE
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

Updated by the provider on Mar 21, 2014

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
253702MedicaidDE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.