Individual provider Active NPI

Stephen Frazier Wetherill, M.D.

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1841280914
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10000909 Issued in DE
Practice address
2700 Silverside Rd
Suite 4
Wilmington, DE 19810-3719
Phone
(302) 478-3700
Fax
(302) 478-4444
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C10000909 DE Primary
Hospitalist Physician 208M00000X C10000909 DE

Addresses

Primary practice location

2700 Silverside Rd
Suite 4
Wilmington, DE 19810-3719

Mailing address

2700 Silverside Rd
Suite 4
Wilmington, DE 19810-3719
Phone (302) 478-3700

Other identifiers 1

IdentifierTypeStateIssuer
C10000909OtherDELICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10000909DEMDHospitalist Physician

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1841280914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD",
            "address_2": "SUITE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103719",
            "telephone_number": "302-478-3700",
            "fax_number": "302-478-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD",
            "address_2": "SUITE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103719",
            "telephone_number": "302-478-3700",
            "fax_number": "302-478-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERILL",
        "first_name": "STEPHEN",
        "middle_name": "FRAZIER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10000909",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DE",
            "license": "C10000909",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "C10000909",
            "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 Aug 2, 2018; 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.