Southside Family Practice, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHSIDE FAMILY PRACTICE, P.A.

Doing business as

SouthSide Family Medicine

Practice address

230 Beiser Blvd
Suite 200
Dover, DE 19904-7793

Phone

(302) 735-1880

Fax

(302) 735-1884

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew A. Willet, M.D.NPI 1922062884

Title

President

Phone

(302) 735-1880

Specialties & licenses 1

Addresses

Other names 1

• SouthSide Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian John Horn, DO

  • Family Medicine Physician
  • Dover, DE
  • NPI 1518922574
  Medicare reassignment NPD
• Julia Leigh Warrington, FNP

  • Family Nurse Practitioner
  • Dover, DE
  • NPI 1083341242
  Medicare reassignment NPD
• Allison Nicole Ford, PA

  • Physician Assistant
  • Dover, DE
  • NPI 1164623880
  Medicare reassignment
• Kate M Olson, P.A.-C

  • Physician Assistant
  • Middletown, DE
  • NPI 1639464456
  Medicare reassignment
• Andrew A Willet, MD

  • Family Medicine Physician
  • Dover, DE
  • NPI 1922062884
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952489510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BEISER BLVD",
            "address_2": "SUITE 200",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047793",
            "telephone_number": "302-735-1880",
            "fax_number": "302-735-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEISER BLVD",
            "address_2": "SUITE 200",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047793",
            "telephone_number": "302-735-1880",
            "fax_number": "302-735-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLET",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-735-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthSide Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Alberto Sosa
• Sound Mind Wellness Center, LLC (Embracing Oak Therapy)
• Jeanette Ann Southard, LCSW
• Southern Delaware Pain Management LLC
• Southern Delaware Sportscare and Rehabilitation, LLC (Pivot Physical Therapy)
• Gregory Spana, M.D.
• Patricia Lynn Sparks, O.D.
• Rashida Sparks
• Michael P. Spellicy, O.D.
• Amy B Spence

• Family Medicine Physician in Dover, DE
• Providers in Dover, DE by specialty
• Family Medicine Physician in Delaware

• 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.
• 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.