Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396836771 Individual Practitioner Female Practitioner

Dr. Colleen R. Witherell , MD

General Practice • Wilmington, DE

Professional Overview & Biography Verified Profile Summary

Dr. Colleen Witherell, MD is a registered healthcare professional specializing in General Practice in Wilmington, DE. Practice services are available at NEMOURS PEDIATRICS JESSUP ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Nemours Pediatrics Jessup St.
1602 Jessup Street

Wilmington, DE 198024210

Telephone 3025765050
Fax 3025765065
Associated Practice Facility / Clinic
🏢 The Nemours Foundation Facility NPI 1528776366

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Wilmington, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.3 Yrs
State Avg: 35.8 Yrs
Regional Practice Density
27 Specialists

Practicing in Wilmington, DE (55 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License DE C10006211

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2259901 (NY)
Medicaid State Provider ID
6883036 (MD)
Medicaid State Provider ID
001860698 (PA)
Medicaid State Provider ID
8631506 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Michael Di Salvo , LCSW

Social Worker - Clinical

NPI 1326438151

Licensed Clinical Social Worker

Dr. Annuradha Goel , MD

General Practice

NPI 1467787184

Doctor of Medicine (M.D.)

Kyla Clark-Freeman , APRN

Nurse Practitioner - Pediatrics

NPI 1558146936

Advanced Practice Registered Nurse

Dr. Gina Amoroso , DO

General Practice

NPI 1578693958

Doctor of Osteopathic Medicine (D.O.)

Dr. Meghan Walls , PsyD

Psychologist - Clinical Child & Adolescent

NPI 1609115922

Doctor of Psychology (Psy.D.)

Dr. Hal Byck , MD

General Practice

NPI 1659477131

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2011

Registered at NEMOURS PEDIATRICS JESSUP ST., 1602 JESSUP STREET, WILMINGTON, DE 198024210 (Tel: 3025765050)

📍
Updated Business Mailing Address September 02, 2011

Registered at PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 197320191 (Tel: 3026516212)

👤
Provider Name / Credentials Updated September 02, 2011

Recorded as COLLEEN WITHERELL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2011

General Practice (License #C10006211 in DE)

🟢
Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Colleen Witherell. Be the first to share your experience!

Sign in to leave a review for Dr. Colleen Witherell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396836771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: September 02, 2011
Sole Proprietor: No

Mailing Address

Po Box 191, Provider Enrollment Dept

Rockland, DE 197320191

Phone: 3026516212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.