Delaware Primary Care LLC
Delaware Primary Care LLC is a healthcare organization registered as Internal Medicine Physician in Dover, DE, holding Type 2 (organization) NPI 1104852300 since 2006. The authorized official on file is Alisha Patrickcooks, Billing Department.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104852300 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Delaware Primary Care LLC |
| Practice address | 810 NEW BURTON RD, SUITE 3, Dover, DE, 19904 |
| Phone | 3027300554 |
| Fax | 3027301175 |
| Enumeration date | 2006-06-23 |
| Last updated in NPPES | 2010-10-27 |
Authorized official
| Name | Alisha Patrickcooks |
|---|---|
| Title | Billing Department |
| Phone | 3027300554 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | C10005391 | DE |
| 207R00000X | Internal Medicine Physician | Primary | C10005294 | DE |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK3544 | Other | DE | PALMETTO GBA |
| 0001165602 | Medicaid | DE | — |
Copy-ready billing details
Provider: Delaware Primary Care LLC NPI: 1104852300 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 810 NEW BURTON RD, SUITE 3, Dover, DE, 19904
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346283678 | Gi Consultants,LLC | Organization | Gastroenterology Physician | Dover, DE |
| 1003046624 | Theodore Conrad Tan | Individual | Internal Medicine Physician | Dover, DE |
| 1508193608 | Mike Walsh Physical Therapy, LLC | Organization | Physical Therapist | Dover, DE |
| 1386938249 | Jacqueline Tiller | Individual | Family Nurse Practitioner | Dover, DE |
| 1871970053 | Lisa Prisco | Individual | Physical Therapist | Dover, DE |
| 1861871238 | Lisa Leonard | Individual | Family Nurse Practitioner | Dover, DE |
Verify this record
Cross-check NPI 1104852300 against the authoritative CMS record: view Delaware Primary Care LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Delaware Primary Care LLC?
Who is the authorized official for Delaware Primary Care LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-10-27.