NPIMap

Organization Active NPI

Bayhealth Medical Center / Kent General Hospital

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1962495838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C20006782 Issued in DE
Legal business name
BAYHEALTH MEDICAL CENTER / KENT GENERAL HOSPITAL
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 744-7039
Fax
(302) 735-3848
NPI assigned
Aug 25, 2005
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
Dr. Anthony F. Oliva, D.O.
Title
Vice President Medical Affairs
Phone
(302) 744-7039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C20006782 DE Primary

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

15 Goldenrod LN
Magnolia, DE 19962-9365
Phone (302) 335-1380

Other names 1

  • Bayhealth Medical Center / Milford Memorial Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
Milford Memorial Hospit28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

200 Banning St
Ste 340
Dover, DE 19904
Phone (302) 734-1414

540 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 672-4600

315 N Carter Rd
Ste 201
Smyrna, DE 19977

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962495838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GOLDENROD LN",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199629365",
            "telephone_number": "302-335-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7039",
            "fax_number": "302-735-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYHEALTH MEDICAL CENTER / KENT GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "VICE PRESIDENT MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "302-744-7039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20006782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhealth Medical Center / Milford Memorial Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dover, 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.