Individual provider Active NPI

Wayne S Garraway, DO

  • General Practice Physician
  • Wilmington, DE
National Provider Identifier
1871660845
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C2-0001804 Issued in DE
Practice address
2700 Silverside Rd
Wilmington, DE 19810-3719
Phone
(302) 225-6868
Fax
(302) 478-0294
NPI assigned
Nov 28, 2006
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C2-0001804 DE Primary

Addresses

Primary practice location

2700 Silverside Rd
Wilmington, DE 19810-3719

Mailing address

2700 Silverside Rd
Wilmington, DE 19810-3719
Phone (302) 225-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000805 DE Practitioner - Family Practice 8729264155 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Medical, LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

1 Centurian Dr
Ste 106
Newark, DE 19713
Phone (302) 322-9240

2700 Silverside Rd
Wilmington, DE 19810
Phone (302) 225-6868

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1871660845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103719",
            "telephone_number": "302-225-6868",
            "fax_number": "302-478-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103719",
            "telephone_number": "302-225-6868",
            "fax_number": "302-478-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRAWAY",
        "first_name": "WAYNE",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C2-0001804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.