Active NPI
Diana Dickson-Witmer, M.D.
- Specialist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C1-0002159
- Practice address
- 1504 N Broom St
Suite 2
Wilmington, DE 19806-3087 - Phone
- (302) 656-1882
- Fax
- (302) 656-1883
- NPI assigned
- Jan 23, 2006
- Last updated
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C1-0002159 | DE | Primary |
Addresses
Primary practice location
1504 N Broom St
Suite 2
Wilmington, DE 19806-3087
Mailing address
4735 Ogletown Stanton Rd
Newark, DE 19713-2072
Phone (302) 656-1882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020013197 | Other | DE | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Florida College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3525
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 45 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0002159 | DE | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Beebe Physician Network, Inc. | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Dickson Witmer Associates | Past | Accepting new patients | |
| Christiana Care Health Initiatives | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
18947 John J Williams Hwy
Unit 205
Rehoboth Beach, DE 19971
Phone (302) 644-0964
501 W 14th St
#4154
Wilmington, DE 19801
Phone (302) 428-4175
Interoperability endpoints
- ddicksonwitmer23103@beebehealth.direct-ci.com
Organizations & group practices 7
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.
-
dba Beebe Medical Group
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Surgery Physician
- Wilmington, DE
- NPI 1134271141
-
dba Christiana Care Cardiology of Southern Chester County
- Cardiovascular Disease Physician
- West Grove, PA
- NPI 1659547560
-
dba CCHI Specialty Services
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Newark, DE
- NPI 1386249738
-
dba CCHS Chief's Surgical Services
- Surgery Physician
- Wilmington, DE
- NPI 1952385122
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
dba Atlantic General Hospital Corp
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1932189131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-656-1882",
"fax_number": "302-656-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 N BROOM ST",
"address_2": "SUITE 2",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198063087",
"telephone_number": "302-656-1882",
"fax_number": "302-656-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON-WITMER",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DE",
"license": "C1-0002159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020013197",
"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 Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.