Concord Medical Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C10003417 Issued in DE

Legal business name

CONCORD MEDICAL INC.

Practice address

2100 Baynard Blvd
Wilmington, DE 19802-3900

Phone

(302) 777-5060

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Caren Lee Thompson, M.D.

Title

Owner

Phone

(302) 777-5060

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joan F Coker, M.D.

  • Otolaryngology Physician
  • Wilmington, DE
  • NPI 1992739676
  NPD
• Erik Gumbs

  • Nurse Practitioner
  • Dover, DE
  • NPI 1427693415
  NPD
• Teresia Kyusee Kisesewa

  • Medical-Surgical Registered Nurse
  • Wilmington, DE
  • NPI 1538010640

  Single Specialty

  NPD
• Velma P Scantlebury, MD

  • General Practice Physician
  • Newark, DE
  • NPI 1487608667
  NPD
• Karin Madison Wilson, APRN

  • Adult Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1245183680
  NPD
• Cydney Teal, MD

  • Family Medicine Physician
  • Elkton, MD
  • NPI 1346290053
  NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1972661502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BAYNARD BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023900",
            "telephone_number": "302-777-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BAYNARD BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023900",
            "telephone_number": "302-777-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CAREN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-777-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10003417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000593301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concord Behavioral Health
• Concord Behavioral Health
• Concord Chiropractic
• Concord Dental, LLC
• Concord Health and Rehabilitation
• Anniya Larae Coney, CD
• Dana Leslie Conklin-Malusa, LMSW
• Gilbert Reid Conley, DPM
• Lauren Conley
• Karen Colleen Conlin, DDS

• Pediatrics Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Pediatrics Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.