EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1861094534
General Practice in Wilmington, DE

Q: What is Evernorth Care Providers - Delaware PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since November 09, 2020

1000 N WEST ST STE 1200, WILMINGTON, DE 19801(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2024, Sep 7, 2023, Aug 24, 2023 and 3 more (6 updates tracked since 2020).

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About Evernorth Care Providers - Delaware Pa NPPES

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

EVERNORTH CARE PROVIDERS - DELAWARE PA (NPI 1861094534) is a healthcare organization registered as a general practice in Wilmington, Delaware and active in the NPI registry since November 2020. The organization lists Grace V Blue, Credentialing Sr Manager, as its authorized official.

NPPES Registry Identity

NPI1861094534

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA

Location Address1000 N WEST ST STE 1200Wilmington, DE 19801-1058

Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059

Phone(773) 292-4800

Fax(312) 564-4059

Organization SubpartNo

Authorized OfficialGrace V BlueCredentialing Sr Manager · (773) 292-4800

Enumeration DateNovember 9, 2020

Last NPPES UpdateMay 7, 20246 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1861094534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal MedicineTaxonomy 207R00000X

1000 N WEST ST STE 1200, Wilmington, DE 19801

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

ASIA JACKSON

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