Individual provider Active NPI

Stanley Raymond Wiercinski, D.O.

  • Critical Care Medicine (Obstetrics & Gynecology) Physician
  • Wilmington, DE
National Provider Identifier
1912944638
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VC0200X
License
C2-0004368 Issued in DE
Practice address
1021 Gilpin Ave Ste 203
Wilmington, DE 19806-3272
Phone
(302) 468-4320
Fax
(888) 905-1904
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X C2-0004368 DE Primary

Addresses

Primary practice location

1021 Gilpin Ave Ste 203
Wilmington, DE 19806-3272

Mailing address

1021 Gilpin Ave Ste 203
Wilmington, DE 19806-3272
Phone (302) 468-4320

Other identifiers 1

IdentifierTypeStateIssuer
0000516710MedicaidDE

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0004368DEMDCritical Care Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital Inc Past Accepting new patients
Obstetrics & Gynecology of New Castle Co Critical Care Medicine Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1912944638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 GILPIN AVE STE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063272",
            "telephone_number": "302-468-4320",
            "fax_number": "888-905-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 GILPIN AVE STE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063272",
            "telephone_number": "302-468-4320",
            "fax_number": "888-905-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERCINSKI",
        "first_name": "STANLEY",
        "middle_name": "RAYMOND",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "DE",
            "license": "C2-0004368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000516710",
            "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 30, 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.