Organization Active NPI

Immediate Care Centers of Delaware

  • General Practice Physician
  • Lewes, DE
National Provider Identifier
1932243375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
IMMEDIATE CARE CENTERS OF DELAWARE
Practice address
1535 Savannah Rd
Lewes, DE 19958-1611
Phone
(410) 749-3142
NPI assigned
Feb 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vincent B Killeen, MD
Title
Directing Partner
Phone
(410) 749-3142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1535 Savannah Rd
Lewes, DE 19958-1611

Mailing address

PO Box 3460
Salisbury, MD 21802-3460
Phone (410) 749-3142

National Provider Directory

National Provider Directory
Tax ID family
Delmarva Urgicare Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932243375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3460",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218023460",
            "telephone_number": "410-749-3142",
            "fax_number": "410-749-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581611",
            "telephone_number": "410-749-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE CARE CENTERS OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILLEEN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTING PARTNER",
        "authorized_official_telephone_number": "410-749-3142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.