Provider Type Icon

PREMISE HEALTH OF DELAWARE MEDICAL P.A. NPI 1093159220


NPI Information

NPI: 1093159220
Provider Name: PREMISE HEALTH OF DELAWARE MEDICAL, P.A.

Doing Business As: AZ HEALTH & WELLNESS CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 08D0982786

Address:
1800 CONCORD PIKE FOC SW1
WILMINGTON, DE
ZIP 19897
Phone: (302) 886-3241
Get Directions

PREMISE HEALTH OF DELAWARE MEDICAL, P.A. is a general practice in Wilmington, DE. The provider is 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 PREMISE HEALTH OF DELAWARE MEDICAL, P.A. NPI is 1093159220. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Az Health & Wellness Center.

The provider's business location address is:

1800 CONCORD PIKE FOC SW1
WILMINGTON, DE
ZIP 19897-001
Phone: (302) 886-3241
Fax: (302) 886-5041

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 08D0982786 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2013 and was last updated on 8/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.