Organization Active NPI

Delmed Health

  • Obstetrics & Gynecology Physician
  • Lewes, DE
National Provider Identifier
1982649638
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1998210158 Issued in DE
Legal business name
DELMED HEALTH
Practice address
431 Savannah Road
Lewes, DE 19958-1460
Phone
(302) 644-9080
Fax
(302) 644-9088
NPI assigned
Jun 17, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Mrs. Maryanne Johnson
Title
Practice Manager
Phone
(302) 645-7036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1998210158 DE Primary

Addresses

Primary practice location

431 Savannah Road
Lewes, DE 19958-1460

Mailing address

431 Savannah Road
Lewes, DE 19958-1460
Phone (302) 644-9080

Other identifiers 1

IdentifierTypeStateIssuer
0001198602MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041230000588 DE Part B Supplier - Clinic/Group Practice 8426016858 Receives reassigned benefits from 2 practitioners
Practice locations: Lewes, DE

National Provider Directory

National Provider Directory

Locations

17274 Coastal Hwy
Unit 1
Lewes, DE 19958
Phone (302) 313-4660

431 Savannah Rd
Lewes, DE 19958
Phone (302) 644-4282

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1982649638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SAVANNAH ROAD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581460",
            "telephone_number": "302-644-9080",
            "fax_number": "302-644-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SAVANNAH ROAD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581460",
            "telephone_number": "302-644-9080",
            "fax_number": "302-644-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "302-645-7036",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "1998210158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001198602",
            "state": "DE"
        }
    ],
    "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 Jul 7, 2010; 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.