GLENN & DOMENICK, MD, PA
NPI 1487628673
Specialist in Dover, DE

Active since February 14, 2006
200 BANNING ST, SUITE 310, DOVER, DE 19904(302) 735-8850(302) 735-8851 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenn & Domenick, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN & DOMENICK, MD, PA (NPI 1487628673) is a healthcare organization registered as a specialist in Dover, Delaware and active in the NPI registry since February 2006. The organization lists Brandt J Feuerstein, President, as its authorized official.

NPPES Registry Identity

NPI1487628673
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEDEN HILL SURGICAL GROUP
Location Address200 BANNING ST, SUITE 310Dover, DE 19904-3485
Mailing Address200 Banning St, Suite 310Dover, DE 19904-3485 · (302) 735-8850 · Fax (302) 735-8851
Fax(302) 735-8851
Organization SubpartNo
Authorized OfficialBrandt J FeuersteinPresident · (302) 735-8850
Enumeration DateFebruary 14, 2006
Last NPPES UpdateDecember 13, 2013
NPI 1487628673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in DE · C1-0003052
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
200 BANNING ST, Dover, DE 19904

Other Names 1

Other NameGlenn & Domenick, Md, Pa

Other Identifiers 2

Medicare PING00937DE
Medicaid0000891702DE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
200 BANNING ST, STE 350
DOVER, DE 19904
Podiatrist
200 BANNING ST, SUITE 360
DOVER, DE 19904
Pharmacist
200 BANNING ST, SUITE 100
DOVER, DE 19904
Clinical Medical Laboratory
200 BANNING ST, SUITE 210
DOVER, DE 19904
Nurse Practitioner (Women's Health)
200 BANNING ST, SUITE 320
DOVER, DE 19904
Pharmacist
200 BANNING ST
DOVER, DE 19904
Internal Medicine (Interventional Cardiology)
200 BANNING ST, SUITE 340
DOVER, DE 19904
Urology
200 BANNING ST, SUITE 250
DOVER, DE 19904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Hill Surgical Group's NPI number?

The NPI number for Eden Hill Surgical Group is 1487628673. It was assigned to this organization in the NPPES registry on February 14, 2006. The provider is also known as Glenn & Domenick, MD, PA.

Where is Eden Hill Surgical Group located?

Eden Hill Surgical Group is located at 200 Banning St Suite 310, Dover, DE 19904. The listed phone number is (302) 735-8850.

What is Eden Hill Surgical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Eden Hill Surgical Group was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.