NPIMap

Organization Active NPI

Delaney Radiologists PA

  • Specialist
  • Wilmington, NC
National Provider Identifier
1902881147
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40445 Issued in NC
Legal business name
DELANEY RADIOLOGISTS PA
Practice address
1025 Medical Center Dr
Wilmington, NC 28401
Phone
(910) 762-3882
Fax
(910) 343-6019
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Paula Oathout
Title
Executive Director
Phone
(910) 343-4934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 40445 NC Primary

Addresses

Primary practice location

1025 Medical Center Dr
Wilmington, NC 28401

Mailing address

1025 Medical Center Dr
Wilmington, NC 28401
Phone (910) 762-3882

Other practice location 1

1025 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-4934 ext. 1

Other identifiers 1

IdentifierTypeStateIssuer
8901898MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040915000814 NC Part B Supplier - Clinic/Group Practice 6305813684 Receives reassigned benefits from 61 practitioners
Practice locations: Wilmingtons, NC; Leland, NC; Wilmington, NC; Supply, NC; Burgaw, NC; Southport, NC
O20220407001848 WI Part B Supplier - Clinic/Group Practice 6305813684 Receives reassigned benefits from 1 practitioner
Practice locations: Hartland, WI

National Provider Directory

National Provider Directory

Locations

2000 Brabham Ave
Ste 110
Jacksonville, NC 28546
Phone (910) 939-3110

2208 S 17th St
Wilmington, NC 28401
Phone (910) 763-3333

2309 S 17th St
Wilmington, NC 28401
Phone (910) 762-3882

Practitioners & affiliated clinicians

Practitioners 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1902881147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-762-3882",
            "fax_number": "910-343-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-762-3882",
            "fax_number": "910-343-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "28401",
            "country_code": "US",
            "telephone_number": "910-343-4934 x1",
            "fax_number": "910-343-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELANEY RADIOLOGISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "OATHOUT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-343-4934"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "40445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.